Individual
MS. JILLIAN MARIE DERUSCIO BELLEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
460 MAIN ST, SPRINGVALE, ME 04083-1874
(518) 368-5465
Mailing address
460 MAIN ST STE 2, SPRINGVALE, ME 04083-1874
(207) 502-5896
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC5044
ME
Other
Enumeration date
07/13/2016
Last updated
04/09/2020
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