Bethanie Jacques, LCPC

NPI 1669732152 · on the registry since 2012 · sole proprietor

Practice

Address: 741 Warren Ave
Portland, ME 04103
Phone: (207) 879-6165
Fax: (207) 879-7466
Organisation at this address: Casa Inc
Casa, Inc
Casa, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Professional Counselor
101YP2500X
Also registered as: Professional Counselor
Licence states on file: ME
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-07-24

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