Individual
MS. JEANNETTE LISA KASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
66 STONE ST, AUGUSTA, ME 04330-5227
(207) 557-2306
(207) 626-3612
Mailing address
PO BOX 86, KENTS HILL, ME 04349-0086
(207) 557-2306
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC 516
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431509899
—
ME
Enumeration date
09/20/2006
Last updated
03/18/2024
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