person
Jennifer Formicola, LCSW
Addiction (Substance Use Disorder) Counselor in Portland, Maine
NPI 1174163026

Jennifer Formicola is an Addiction (Substance Use Disorder) Counselor based in Portland, ME and is specialized in Addiction (Substance Use Disorder). Jennifer Formicola practices in Portland, ME and has the professional credentials of LCSW. The NPI Number for Jennifer Formicola is 1174163026 and holds a License No. (Maine).

The current practice location address for Jennifer Formicola is 160 Preble St, Portland, ME and can be reached out via phone at 207-420-0601.

Location: 160 Preble St, Portland, ME, 04101-2426
person
Provider Profile Details
NPI Number
1174163026
Provider Name
Jennifer Formicola
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
160 Preble St, Portland, ME, 04101-2426
Phone Number
207-420-0601
Fax Number
Provider Enumeration Date
01/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
160 Preble St
City
State
Zip
04101-2426
Phone Number
207-420-0601
Fax Number
person
Provider Business Mailing Address Details
Address
160 Preble St
City
State
Zip
04101-2426
Phone Number
207-420-0601
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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