Individual
JONATHAN D WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
12 UNION ST, ROCKLAND, ME 04841-2739
(207) 701-4400
(207) 701-4487
Mailing address
120 TILLSON AVE STE 200, ROCKLAND, ME 04841-3400
(207) 504-7118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC4787
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC4787
STATE OF MAINE OFFICE OF PROFESSIONAL & FINANCIAL REGULATION
ME
Enumeration date
10/24/2014
Last updated
06/16/2018
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