Organization
FOGGY PATH RANCH & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER JACKSON LCPC (FOUNDER)
(207) 352-3281
Entity
Organization
Contact information
Practice address
37 FOGG LANE, BURLINGTON, ME 04417
(207) 352-3281
Mailing address
PO BOX 62, BURLINGTON, ME 04417-0062
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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