Individual
JESSICA ADAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
79 CONGRESS ST UNIT 1, PORTLAND, ME 04101-3614
(073) 588-3672
Mailing address
79 CONGRESS ST UNIT 1, PORTLAND, ME 04101-3614
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11362
MA
101YM0800X
Mental Health Counselor
6290
CA
106H00000X
Marriage & Family Therapist
1765
MA
106H00000X
Marriage & Family Therapist
Primary
99792
CA
Other
Enumeration date
05/21/2018
Last updated
05/15/2025
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