Individual
JAMIE MICHELLE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
166 NEW COUNTY RD, ROCKLAND, ME 04841-5320
(207) 596-0312
(207) 596-0319
Mailing address
402 LINCOLNVILLE AVE, BELFAST, ME 04915-7416
(207) 322-2705
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC8153
ME
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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