Individual
JENNIFER CONNOR FAHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2 DAVENPORT CIR #201, BATH, ME 04530-2831
(207) 389-6339
Mailing address
2 DAVENPORT CIR #201, BATH, ME 04530-2831
(207) 389-6339
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3217
CO
101YP2500X
Professional Counselor
Primary
5567
ME
Other
Enumeration date
08/10/2006
Last updated
12/15/2022
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