Individual
JENNIFER ELIZABETH HARGIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
343 FOREST AVE, PORTLAND, ME 04101-2006
(207) 838-6949
Mailing address
343 FOREST AVE, PORTLAND, ME 04101-2006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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