Organization
COLLEEN JILLSON COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN JILLSON LCSW (OWNER)
(207) 312-8614
Entity
Organization
Contact information
Practice address
168 LISBON ST UNIT 4, LEWISTON, ME 04240-7234
(207) 312-8614
(207) 223-3691
Mailing address
PO BOX 7111, LEWISTON, ME 04243-7111
(207) 312-8614
(207) 223-3691
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851665939
—
ME
Enumeration date
03/02/2022
Last updated
07/05/2022
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