person
Jason William Nickerson, CADC
Addiction (Substance Use Disorder) Counselor in Portland, Maine
NPI 1841722378

Jason William Nickerson is an Addiction (Substance Use Disorder) Counselor based in Portland, ME and is specialized in Addiction (Substance Use Disorder). Jason William Nickerson practices in Portland, ME and has the professional credentials of CADC. The NPI Number for Jason William Nickerson is 1841722378 and holds a License No. CAC5536 (Maine).

The current practice location address for Jason William Nickerson is 72 Auburn St, Portland, ME and can be reached out via phone at 207-245-1800 and via fax at 207-899-1599.

Location: 72 Auburn St, Portland, ME, 04103-2104
person
Provider Profile Details
NPI Number
1841722378
Provider Name
Jason William Nickerson
Credential
CADC
Provider Entity Type
Individual
Gender
Male
Address
72 Auburn St, Portland, ME, 04103-2104
Phone Number
207-245-1800
Fax Number
207-899-1599
Provider Enumeration Date
04/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
72 Auburn St
City
State
Zip
04103-2104
Phone Number
207-245-1800
Fax Number
207-899-1599
person
Provider Business Mailing Address Details
Address
72 Auburn St
City
State
Zip
04103-2104
Phone Number
207-245-1800
Fax Number
207-899-1599
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CAC5536 (Maine)
Definition
Definition to come...
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