Individual
LEXI JADE BEALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC, LSW
Contact information
Practice address
217 MAIN ST STE 202, LEWISTON, ME 04240-8193
(207) 618-5157
Mailing address
217 MAIN ST STE 202, LEWISTON, ME 04240-8193
(207) 618-5157
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC6914
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
464126690
—
ME
Enumeration date
03/09/2020
Last updated
03/09/2020
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