Individual
JACQUELINE DIANE DIMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LCPC
Contact information
Practice address
251 MAIN ST STE 6, YARMOUTH, ME 04096-6754
(207) 844-4997
Mailing address
251 MAIN ST STE 6, YARMOUTH, ME 04096-6754
(207) 844-4997
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC4994
ME
Other
Enumeration date
08/26/2013
Last updated
03/04/2024
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