Individual
MS. JANE A LOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC CADC
Contact information
Practice address
261 MAIN ST, YARMOUTH, ME 04096
(207) 251-1482
Mailing address
BOX 12, 261 MAIN ST, YARMOUTH, ME 04096
(207) 251-1482
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC3822
ME
101Y00000X
Counselor
XL3316
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC4124
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912176405-001
—
ME
Enumeration date
02/28/2008
Last updated
08/22/2013
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