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Individual

MR. JESSE DALE DAMRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC, LSX, MHRT/C

Contact information

Practice address
51 HARPSWELL RD, BRUNSWICK, ME 04011-2549
(207) 295-2190
Mailing address
11 CHERRY HILL DR, WATERVILLE, ME 04901-4503
(207) 313-0739

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
224Z00000X
Occupational Therapy Assistant
OA3591
ME

Other

Enumeration date
10/30/2018
Last updated
05/12/2026
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