| Doctor Name: | MS. MARJORIE ELAINE AVERILL |
| NPI Number: | 1063503522 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW LCSW |
| License Number: | LC7078 |
| Business Practice Address: | 73 Biscay Road Damariscotta, ME - 04542 |
| Business Phone Number: | 2075633022 |
| Business Fax Number: | 2075633061 |
| Mailing Address: | Po Box 157, NOBLEBORO |
| State: | ME |
| Postal Code: | 04555 |
| Phone Number: | 2075633022 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 03/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LC7078 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |