Individual
JESSICA LYNN MORAISEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC5890
ME
101YM0800X
Mental Health Counselor
CC7090
ME
101YP2500X
Professional Counselor
Primary
XL4783
ME
Other
Enumeration date
12/04/2017
Last updated
07/18/2024
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