Individual
MAYNARD L JALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
157 PARK ST STE 22, BANGOR, ME 04401-5094
(207) 944-7645
(207) 941-8020
Mailing address
135 BURLEIGH RD, BANGOR, ME 04401-2509
(207) 944-6297
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC3351
ME
Other
Enumeration date
03/30/2007
Last updated
07/31/2013
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