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Glenn Andrew Mayer, LCPC, CCS

Counselor, Professional in Portland, ME. Individual provider (NPI-1).

NPI number1033743232
StatusActive
Last updated in NPPESMar 11, 2020

Details

NPI
1033743232
Entity type
Individual (NPI-1)
Name
Glenn Andrew Mayer
Credential
LCPC, CCS
Sex
Male
Sole proprietor
No
Enumeration date
Feb 26, 2020
Certification date
Mar 11, 2020
Last updated
Mar 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, ProfessionalCC3247MEYes

Practice location

165 Lancaster St
Portland, ME 04101-2406

Phone 207-661-6415

Mailing address

165 Lancaster St
Portland, ME 04101-2406

Phone 207-661-6415

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