Individual
JENNI M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
150 CONGRESS ST, RUMFORD, ME 04276-2035
(207) 364-3549
Mailing address
150 CONGRESS ST, RUMFORD, ME 04276-2035
(207) 364-3549
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL4337
ME
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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