Individual provider · Type 1 NPI

Jessica L. Disanto, LCPC, CADC

Professional Counselor · Springvale, ME

NPI number 1750782702 Active

Practice location

474 Main St
Springvale, ME 04083-1409

Call (207) 324-1500 Map

Fax (207) 490-5263

Mailing address

190 Riverside St, Suite 6B
Portland, ME 04103-1073

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XCC4820 (ME)
Addiction (Substance Use Disorder) Counselor 101YA0400XCAC4355 (ME)

Professional Counselor: Definition to come...

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About NPI 1750782702

Jessica L. Disanto, LCPC, CADC's National Provider Identifier is 1750782702, issued on Sep 9, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springvale, ME. The record was last updated on May 9, 2017.