Individual
JANE EAGLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
24 MORTLAND ROAD, SEARSPORT, ME 04974
(207) 548-2440
(207) 548-2476
Mailing address
54 MOUNTAIN ST, NORTHPORT, ME 04849-4008
(207) 548-2440
(207) 548-2476
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC2118
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302720099
—
ME
Enumeration date
03/15/2006
Last updated
06/24/2009
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