Provider Demographics
NPI:1881824175
Name:METEVIER, SETH MICHAEL (LCPC)
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:MICHAEL
Last Name:METEVIER
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 1:12 WESTBROOK CMN
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092-2819
Mailing Address - Country:US
Mailing Address - Phone:207-856-3421
Mailing Address - Fax:207-856-1518
Practice Address - Street 1:12 WESTBROOK CMN
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092-2819
Practice Address - Country:US
Practice Address - Phone:207-856-1500
Practice Address - Fax:207-856-1518
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC3918101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional