ETHAN THERRIEN

LEWISTON, ME
NPI1568804888
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor Professional
(Licence: ME  XL3992)
Enumeration Date2013-07-29
Last Update Date2013-07-29
Business Address
ETHAN THERRIEN LCPC-C
581 SABATTUS ST
LEWISTON, ME 04240-4120
Phone number: 207-795-0419
Mailing Address
ETHAN THERRIEN LCPC-C
899 RIVERSIDE ST
PORTLAND, ME 04103-1070
Phone number:
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