Jacques, Bethanie

Jacques, Bethanie is an sole proprietor health care provider with primary practice located at 741 Warren Ave , Portland ME 04103-1007. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jacques, Bethanie can be contacted via phone (207) 879-6165.

Contact Information

Primary practice address
741 Warren Ave Portland ME 04103-1007
Phone: (207) 879-6165
Fax: (207) 879-7466
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X XL3960 Maine
Behavioral Health & Social Service Providers / Professional 101YP2500X CC4878 Maine

Profile Details

NPI number 1669732152
LBN Legal business name Jacques, Bethanie
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2012
Last updated Jul 24th, 2022 - about 4 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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