Jennifer M. Tracey-west LMFTC-STATE OF MAINE

NPI 1023316312 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1023316312
Gender Female
Enumeration Date 03/10/2011
Last Updated 06/27/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
210 MAIN STREET, SUITE #10
ELLSWORTH ME, 04605, US
Phone (207) 812-1118
Fax (207) 667-8358
Business Location
352 BAYVIEW ROAD
PENOBSCOT ME, 04476, US
Phone (207) 812-1118
Fax (207) 667-8358
Toxanomy
Taxonomy Code 106H00000X
License State Maine
License Number XM4290
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According to our database, Ms. Jennifer M. Tracey-west LMFTC-STATE OF MAINE NPI is 1023316312, taxonomy code is 106H00000X and license number is XM4290, license state is located at Maine. Jennifer M. Tracey-west LMFTC-STATE OF MAINE physically located at 210 Main Street, Suite #10, Ellsworth ME, 04605. NPI Number Jennifer M. Tracey-west LMFTC-STATE OF MAINE has the Individual type.

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1023316312 NPI number is provided on an as is basis without warranty of any kind. 1023316312 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer M. Tracey-west LMFTC-STATE OF MAINE are for informational purposes only.