Individual
JESSICA LACHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
1155 LISBON ST, LEWISTON, ME 04240-5025
(207) 344-1839
Mailing address
PO BOX 2008, LEWISTON, ME 04241-2008
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MC18538
ME
101YM0800X
Mental Health Counselor
Primary
LC22188
ME
Other
Enumeration date
02/25/2020
Last updated
03/30/2023
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