Individual
LISA DEHAHN JADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, LADC, CCS
Contact information
Practice address
66 BARIBEAU DR, BRUNSWICK, ME 04011-3230
(207) 373-6991
(207) 373-6080
Mailing address
78 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 661-6654
(207) 842-7773
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC3707
ME
101YP2500X
Professional Counselor
Primary
CC2672
ME
Other
Enumeration date
11/08/2010
Last updated
03/04/2025
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