Individual
JESSICA MARIE TALBOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
101 EAST AVE, LEWISTON, ME 04240-5662
(207) 777-3399
Mailing address
21 ASH ST, GARDINER, ME 04345-1910
(207) 441-5633
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC7669
ME
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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