Provider Demographics
NPI:1689886483
Name:SAREMI, CUE (LCPC)
Entity Type:Individual
Prefix:
First Name:CUE
Middle Name:
Last Name:SAREMI
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 WESTMINSTER ST.
Mailing Address - Street 2:STE. B
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240
Mailing Address - Country:US
Mailing Address - Phone:207-786-8122
Mailing Address - Fax:207-786-8164
Practice Address - Street 1:324 GANNETT DRIVE
Practice Address - Street 2:STE. 300
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106
Practice Address - Country:US
Practice Address - Phone:207-771-5700
Practice Address - Fax:207-771-5750
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC3241101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME431745399Medicaid