Individual
JESSICA WHITTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
15 MAIN ST, STE 221, FREEPORT, ME 04032-1100
(207) 632-8024
Mailing address
95 PARKER ST, NEWBURYPORT, MA 01950-4033
(978) 225-2250
(978) 225-2251
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC3296
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851421720
UBH
ME
01
—
1851431720
BEHAVIORAL HEALTHCARE PROGRAM
ME
Enumeration date
02/08/2007
Last updated
02/14/2020
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