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Search › Maine › 101YP2500X

Bethanie Jacques, LCPC

NPI 1669732152 · on the registry since 2012 · sole proprietor

Practice

Address
741 Warren Ave
Portland, ME 04103
Phone
(207) 879-6165
Fax
(207) 879-7466
Organisation at this address
Casa Inc
Casa, Inc
Casa, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YP2500X
Licence states on file
ME
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine