Individual
MRS. JEANNE JOSSELYN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2165 US HWY 1 STE 5, SULLIVAN, ME 04664-3215
(207) 422-3428
(207) 422-3428
Mailing address
2165 US HWY 1 STE 5, SULLIVAN, ME 04664-3215
(207) 422-3428
(207) 422-3428
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC364
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027116
ANTHEM BLUE CROSS
ME
01
—
7730040
AETNA
ME
Enumeration date
01/03/2007
Last updated
07/08/2007
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