Individual
JESSICA L WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
14 WINTER ST, SANFORD, ME 04073-3322
(207) 324-4054
(207) 324-4074
Mailing address
PO BOX 174, LEBANON, ME 04027-0174
(603) 781-9384
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC8650
ME
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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