Individual
JILL MERTINKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC2367
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100535
BCBS
ME
01
—
542081155
HARVARD PILGRIM
ME
01
—
7136870
AETNA
ME
Enumeration date
04/05/2007
Last updated
10/01/2021
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