Individual
MRS. JILL ELAINE JEUDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
174 PAUL BUNYAN ROAD, COREA, ME 04624-0462
(573) 366-7688
Mailing address
PO BOX 111, COREA, ME 04624-0111
(573) 366-7688
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC1871
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495933814
—
MO
Enumeration date
04/12/2007
Last updated
03/15/2024
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