Individual
JEWEL MCHALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC1050
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
432786100
MAINECARE
ME
Enumeration date
07/01/2009
Last updated
04/26/2011
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