Individual
JAN LOEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
72 FRONT ST, BATH, ME 04530-2657
(207) 837-5974
Mailing address
PO BOX 787, BATH, ME 04530-0787
(207) 837-5974
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL3682
ME
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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