Individual
DR. JOHN NMN YASENCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED. D
Contact information
Practice address
23 WABANAKI WAY, INDIAN ISLAND, ME 04468-1252
(207) 817-7400
(207) 827-5022
Mailing address
23 WABANAKI WAY, INDIAN ISLAND, ME 04468-1252
(207) 817-7400
(207) 827-5022
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC 1226
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC 105
COUNSELOR
ME
01
—
CCS 3182
COUNSELOR
ME
01
—
LC 1226
COUNSELOR
ME
Enumeration date
11/07/2006
Last updated
07/08/2007
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