Individual
MICHELLE JOLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-C
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
XL5077
ME
251S00000X
Community/Behavioral Health Agency
Primary
XL5077
ME
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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