Individual
JEREMIAH COLEMAN HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
227 WATER ST, AUGUSTA, ME 04330-4651
(207) 213-2168
(866) 580-4247
Mailing address
227 WATER ST, AUGUSTA, ME 04330-4651
(207) 314-9353
(866) 580-4247
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC16444
ME
Other
Enumeration date
09/05/2012
Last updated
01/31/2017
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