Doctor Name: | JENNIFER BALDWIN-MACKEY |
NPI Number: | 1750344222 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | CC2306 |
Business Practice Address: | 329 Bath Rd Brunswick, ME - 040112609 |
Business Phone Number: | 2072944657 |
Business Fax Number: | 2072944649 |
Mailing Address: | 8 Lamb Farm Rd, BRUNSWICK |
State: | ME |
Postal Code: | 040117127 |
Phone Number: | 2077295572 |
Fax Number: | |
NPI Enumeration Date: | 04/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | CC2306 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |