person
Jessica Demerise Small, LCPC
Mental Health Counselor in Bangor, Maine
NPI 1033540687

Jessica Demerise Small is a Mental Health Counselor based in Bangor, ME and is specialized in Mental Health. Jessica Demerise Small practices in Bangor, ME and has the professional credentials of LCPC. The NPI Number for Jessica Demerise Small is 1033540687 and holds a License No. XL4254 (Maine).

The current practice location address for Jessica Demerise Small is 202 Exchange St, Bangor, ME and can be reached out via phone at 207-941-6434 and via fax at 207-941-9366.

Location: 202 Exchange St, Bangor, ME, 04401-6508
person
Provider Profile Details
NPI Number
1033540687
Provider Name
Jessica Demerise Small
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
202 Exchange St, Bangor, ME, 04401-6508
Phone Number
207-941-6434
Fax Number
207-941-9366
Provider Enumeration Date
12/09/2013
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
202 Exchange St
City
State
Zip
04401-6508
Phone Number
207-941-6434
Fax Number
207-941-9366
person
Provider Business Mailing Address Details
Address
202 Exchange St
City
State
Zip
04401-6508
Phone Number
207-941-6434
Fax Number
207-941-9366
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
XL4254 (Maine)
Definition
Definition to come...
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