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Search › Maine › Addiction (Substance Use Disorder) Counselor

Jennifer Formicola, LCSW

NPI 1174163026 · on the registry since 2020 · sole proprietor

Practice

Address
160 Preble St
Portland, ME 04101
Phone
(207) 420-0601
Organisation at this address
Pk Holdings, Inc.
Tradecraft12 Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Sex
Female
Record last updated
2020-01-08
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine