Individual
MR. JEFFREY MARSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TTS-C,MSPSY
Contact information
Practice address
3 BASS RD, MADISON, ME 04950-3709
(207) 431-7377
Mailing address
3 BASS RD, MADISON, ME 04950-3709
(207) 431-7377
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
TTS-C
ME
Other
Enumeration date
08/08/2015
Last updated
08/08/2015
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