Organization
JENNIFER M WEST LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WEST LCSW (OWNER)
(207) 229-2398
Entity
Organization
Contact information
Practice address
180 MAIN ST, BIDDEFORD, ME 04005-2410
(207) 229-2398
Mailing address
48 HIGH TIDE RD, KENNEBUNKPORT, ME 04046-5430
(207) 229-2398
(207) 571-3008
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004652
—
ME
Enumeration date
02/22/2022
Last updated
02/22/2022
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