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Individual

JEFFREY MCCARTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
64 CHURCH ST, ELLSWORTH, ME 04605-1658
(207) 664-7564
Mailing address
PO BOX 5170, ELLSWORTH, ME 04605-5170

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC1637
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
192310099
ME
Enumeration date
06/16/2006
Last updated
05/02/2024
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