Individual
DR. JEANETTE ANDERSON GOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC PHD
Contact information
Practice address
884 BROADWAY, SOUTH PORTLAND, ME 04106
(207) 767-1165
Mailing address
146 W GRAND AVENUE, OCEAN PARK MEADOWS #24, OLD ORCHARD BEACH, ME 04064
(207) 934-9882
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
LP 2072
ME
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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