Organization
LEARNING WORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA JADE LCPC (CLINICAL SUPERVISOR)
(207) 775-0105
Entity
Organization
Contact information
Practice address
181 BRACKETT ST, PORTLAND, ME 04102-3857
(207) 775-0105
Mailing address
181 BRACKETT ST, PORTLAND, ME 04102-3857
(207) 775-0105
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CC246
ME
Other
Enumeration date
12/04/2011
Last updated
12/04/2011
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