Hersom, Jessica

Hersom, Jessica is an individual health care provider with primary practice located at 119 Northport Ave Fl 1 , Belfast ME 04915-6069. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hersom, Jessica can be contacted via phone (207) 570-8776.

Contact Information

Primary practice address
119 Northport Ave Fl 1 Belfast ME 04915-6069
Phone: (207) 570-8776
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC6782 Maine
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAC5848
Behavioral Health & Social Service Providers / Social Worker 104100000X LM16932
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC20114 Maine

Profile Details

NPI number 1316442940
LBN Legal business name Hersom, Jessica
Credentials LCSW, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2018
Last updated Mar 28th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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