Individual
JESSICA MEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, CCS
Contact information
Practice address
510 MAIN ST, GORHAM, ME 04038-1339
(207) 228-5204
Mailing address
12 KINDRED WAY, YARMOUTH, ME 04096-8399
(207) 228-5204
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC7029
ME
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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