Individual
MS. JENNIFER WARREN GREAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W., L.A.D.C.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC1990
ME
1041C0700X
Clinical Social Worker
Primary
LC2965
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079201
ANTHEM
ME
05
—
328620099
—
ME
Enumeration date
03/22/2006
Last updated
06/25/2019
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