| Doctor Name: | NANCY ST CLAIR |
| NPI Number: | 1508257668 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | XL4377 |
| Business Practice Address: | 73 Biscay Road Damariscotta, ME - 04543 |
| Business Phone Number: | 2075633022 |
| Business Fax Number: | 2075636146 |
| Mailing Address: | 193 Commericial Street, BOOTHBAY HARBOR |
| State: | ME |
| Postal Code: | 04538 |
| Phone Number: | 8606707736 |
| Fax Number: | 2075636146 |
| NPI Enumeration Date: | 02/11/2015 |
| NPI Last Update Date: | 02/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | XL4377 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |