Doctor Name: | JENNIFER B MCCARTHY |
NPI Number: | 1154588283 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.H.C. |
License Number: | 4615 |
Business Practice Address: | 70 Main St Porter, ME - 040683527 |
Business Phone Number: | 2076258126 |
Business Fax Number: | |
Mailing Address: | Po Box 777, Suite 203 PARSONSFIELD |
State: | ME |
Postal Code: | 040470777 |
Phone Number: | 2076258126 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2008 |
NPI Last Update Date: | 06/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4615 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |