person
Jessica L. Disanto, LCPC,CADC
Addiction (Substance Use Disorder) Counselor in Springvale, Maine
NPI 1750782702

Jessica L. Disanto is an Addiction (Substance Use Disorder) Counselor based in Portland, ME and is specialized in Addiction (Substance Use Disorder). Jessica L. Disanto practices in Springvale, ME and has the professional credentials of LCPC,CADC. The NPI Number for Jessica L. Disanto is 1750782702 and holds a License No. CC4820 (Maine).

The current practice location address for Jessica L. Disanto is 474 Main St, Springvale, ME and can be reached out via phone at 207-324-1500 and via fax at 207-490-5263.

Location: 474 Main St, Springvale, ME, 04103-1073
person
Provider Profile Details
NPI Number
1750782702
Provider Name
Jessica L. Disanto
Credential
LCPC,CADC
Provider Entity Type
Individual
Gender
Female
Address
474 Main St, Springvale, ME, 04103-1073
Phone Number
207-324-1500
Fax Number
207-490-5263
Provider Enumeration Date
09/09/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
474 Main St
City
State
Zip
04083-1409
Phone Number
207-324-1500
Fax Number
207-490-5263
person
Provider Business Mailing Address Details
Address
474 Main St
City
State
Zip
04083-1409
Phone Number
207-324-1500
Fax Number
207-490-5263
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CAC4355 (Maine)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
CC4820 (Maine)
Definition
Definition to come...
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