Individual
JORDAN CIEL FEARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
700 MOUNT HOPE AVE STE 680, BANGOR, ME 04401-5672
(207) 942-9305
Mailing address
700 MOUNT HOPE AVE STE 680, BANGOR, ME 04401-5672
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PS1361
ME
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS1361
ME
Other
Enumeration date
08/21/2015
Last updated
03/21/2024
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