# NANTUCKET COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164047189
- **Authorized official:** MR. JONATHAN BERUBE LMFT, CCS, SAP (CEO)
- **Authorized official phone:** (207) 651-1287

## Contact information

- **Practice address:** 469 MAIN ST STE 101, SPRINGVALE, ME 04083-1870
- **Practice address phone:** (207) 651-1287
- **Practice address fax:** (207) 636-8010
- **Mailing address:** 469 MAIN ST STE 101, SPRINGVALE, ME 04083-1870
- **Mailing address phone:** (207) 651-1287
- **Mailing address fax:** (207) 636-8010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 261Q00000X | Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 06/15/2020
- **Last updated:** 02/17/2025