Individual
JACK OBERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
25 MIDDLE ST, PORTLAND, ME 04101-4869
(207) 370-1161
Mailing address
25 MIDDLE ST, PORTLAND, ME 04101-4869
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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