Organization
NANTUCKET COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN BERUBE LMFT, CCS, SAP (CEO)
(207) 651-1287
Entity
Organization
Contact information
Practice address
469 MAIN ST STE 101, SPRINGVALE, ME 04083-1870
(207) 651-1287
(207) 636-8010
Mailing address
469 MAIN ST STE 101, SPRINGVALE, ME 04083-1870
(207) 651-1287
(207) 636-8010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
06/15/2020
Last updated
02/17/2025
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