Individual
PAULA J JURSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LADC, CCS
Contact information
Practice address
17 WALES RD, SABATTUS, ME 04280-4136
(207) 440-4875
Mailing address
17 WALES RD, SABATTUS, ME 04280-4136
(207) 440-4875
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC2729
ME
101YM0800X
Mental Health Counselor
Primary
CC3406
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201215
ANTHEM BEHV HEALTH
ME
05
—
412220099
—
ME
Enumeration date
02/01/2007
Last updated
11/15/2025
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