Individual
JENNY INGWERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
15 YORK ST BLDG 19, STE 201, BIDDEFORD, ME 04005-5507
(207) 871-1211
Mailing address
901 WASHINGTON AVE, PORTLAND, ME 04103-2737
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC4992
ME
Other
Enumeration date
10/16/2015
Last updated
11/09/2018
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