Individual
MS. JILLIAN MARIE BONNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
28 PORTLAND AVE, OLD ORCHARD BEACH, ME 04064-2212
(207) 934-5231
Mailing address
2 NEW COLONY DR UNIT 18, OLD ORCHARD BEACH, ME 04064-1292
(207) 332-1747
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC5604
ME
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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