Individual
MRS. BILLIE-JO JACKSON LOVLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
40 SUMMER ST., BANGOR, ME 04401
(207) 945-4240
Mailing address
19 CLOVER LANE, BREWER, ME 04412
(207) 356-2831
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL3170
ME
Other
Enumeration date
01/11/2007
Last updated
09/11/2012
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