Individual
MRS. JACQUELYN POULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, ATR
Contact information
Practice address
8 NORTHERN RD, PRESQUE ISLE, ME 04769
(207) 764-7219
Mailing address
8 NORTHERN RD, PRESQUE ISLE, ME 04769
(207) 764-7219
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC5072
ME
101YM0800X
Mental Health Counselor
XL4381
ME
221700000X
Art Therapist
17-064
ME
Other
Enumeration date
03/06/2015
Last updated
05/06/2020
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