Individual provider · Type 1 NPI

Bethanie Jacques, LCPC

Professional Counselor · Portland, ME

NPI number 1669732152 Active

Practice location

741 Warren Ave
Portland, ME 04103-1007

Call (207) 879-6165 Map

Fax (207) 879-7466

Mailing address

PO Box 150
Westbrook, ME 04098-0150

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XXL3960 (ME)
Professional Counselor Primary 101YP2500XCC4878 (ME)

Professional Counselor: Definition to come...

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About NPI 1669732152

Bethanie Jacques, LCPC's National Provider Identifier is 1669732152, issued on May 18, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, ME. The record was last updated on Jul 24, 2022.