Jennifer Small in Norway - Addiction (substance Use Disorder)

Jennifer Small - NPI 1659310142

Jennifer Small is a Addiction (substance Use Disorder) in Norway, Maine. Jennifer Small practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jennifer Small is 1659310142. The last update date is 2019-10-28.

Jennifer Small's current location address is 235 Main St, Norway, Maine. You can contact this provider via phone number 2077392644 and fax number 2077392467. The mailing address for Jennifer Small is 235 Main St, Norway, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Small
Address 235 Main St, Norway, Maine
Phone Number 2077392644
Fax Number 2077392467
Sole Proprietor N
Credentials LADC, CCS

NPI Number Detail

NPI Number 1659310142
Provider Enumeration Date 2006-06-06
Last Updated Date 2019-10-28

Provider Mailing Address Detail

Address 235 Main St
City Norway
State Maine (ME)
Post Code 42685943
Phone Number 2077392644
Fax Number 2077392467

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No LC2466
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
417940099 ME --

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FAQs about Jennifer Small

Could you provide the complete address where Jennifer Small is physically located?

The Jennifer Small is situated at the following address: 235 Main St, Norway, ME 42685943.

Could you please share the complete physical location address where Jennifer Small's facilities are situated?

The facilities of Jennifer Small are physically located at the following address: 235 Main St, Norway, ME, 42685943.

On what date was the 1659310142 assigned to Jennifer Small?

The Jennifer Small was issued its 1659310142 on 2006-06-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

On what date did the Jennifer Small receive the assignment of its 1659310142 from the Centers for Medicare & Medicaid Services?

The Jennifer Small was issued its 1659310142 by the Centers for Medicare & Medicaid Services on 2006-06-06.

When was the information regarding Jennifer Small most recently updated?

The details pertaining to the Jennifer Small, including its address, specialty, and other relevant information, were last refreshed on 2019-10-28.

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