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Individual

JEFFREY D VENABLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC, LADC, CCS

Contact information

Practice address
178 COURT ST STE 204, AUBURN, ME 04210-6917
(530) 746-8018
Mailing address
178 COURT ST STE 204, AUBURN, ME 04210-6917
(530) 746-8018

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC5747
ME
101YM0800X
Mental Health Counselor
Primary
CC5131
ME

Other

Enumeration date
06/11/2015
Last updated
11/10/2022
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