ELAINE C THERRIAULT

LEWISTON, ME
NPI1417198664
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ME  LC1349)
Enumeration Date2009-03-18
Last Update Date2009-03-18
Business Address
ELAINE C THERRIAULT
1155 LISBON ST
LEWISTON, ME 04240-5025
Phone number: 207-783-9141
Mailing Address
ELAINE C THERRIAULT
1155 LISBON ST
LEWISTON, ME 04240-5025
Phone number: 207-783-9141