Individual
JENNIFER C ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
91 ELM ST, CAMDEN, ME 04843-1906
(207) 613-5506
Mailing address
16 GROVE ST, CAMDEN, ME 04843-1607
(207) 322-2242
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL5134
ME
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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