SearchMaine101YA0400X

Jeremy Crockett, CADC

NPI 1780986315 · on the registry since 2010

Practice

Address
629 Main St
Bangor, ME 04401
Phone
(207) 990-2870
Organisation at this address
Manna Inc
Manna Inc
Manna Inc.
Manna Inc.
Daylight Residential Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
ME
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-12-02

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