Individual provider · Type 1 NPI
Jennifer Queally, LCPC-C
Professional Counselor · South Portland, ME
NPI number
1285176677
Active
Practice location
60 Chase St
South Portland, ME 04106-3931
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | XL4650 (ME) |
Professional Counselor: Definition to come...
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About NPI 1285176677
Jennifer Queally, LCPC-C's National Provider Identifier is 1285176677, issued on Nov 16, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in South Portland, ME. The record was last updated on Nov 16, 2016.