Individual
JAYNE R. WEISBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LADC
Contact information
Practice address
41 DONALD BEAN DRIVE, SUITE A, SOUTH PORTLAND, ME 04106
(207) 661-6064
Mailing address
34 CHRISTY ROAD, PORTLAND, ME 04103
(207) 661-6654
(207) 842-7773
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC4348
ME
101YM0800X
Mental Health Counselor
Primary
CC3494
ME
Other
Enumeration date
05/02/2007
Last updated
03/24/2023
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