Individual
MRS. STACEY JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
9 BOWDOIN MILL IS, TOPSHAM, ME 04086-1263
(207) 837-6599
Mailing address
9 BOWDOIN MILL IS, TOPSHAM, ME 04086-1263
(207) 837-6599
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC4054
ME
Other
Enumeration date
08/21/2013
Last updated
11/05/2023
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