Individual
JESSICA MELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
15 FLYING POINT RD, FREEPORT, ME 04032-6435
(207) 577-7527
Mailing address
15 FLYING POINT RD, FREEPORT, ME 04032-6435
(207) 577-7527
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL6564
ME
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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