Individual
REBECCA JAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
216 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 651-6653
(207) 842-7773
Mailing address
216 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 651-6653
(207) 842-7773
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CC3040
ME
101YM0800X
Mental Health Counselor
Primary
CC3040
ME
Other
Enumeration date
12/27/2010
Last updated
06/25/2015
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