Individual
CAMERON JAMES JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC-C
Contact information
Practice address
155 CENTER ST, AUBURN, ME 04210-5229
(207) 653-0741
Mailing address
155 CENTER ST, AUBURN, ME 04210-5229
(207) 653-0741
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL5817
ME
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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