Individual
JACQUELYN A CLOSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
11 MILL ST, HOULTON, ME 04730-1877
(207) 532-6523
(207) 532-3873
Mailing address
180 ACADEMY ST STE 3, PRESQUE ISLE, ME 04769-3183
(207) 554-2352
(207) 554-2351
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CAC7399
ME
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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