Moon, Jennifer Alice

Moon, Jennifer Alice is an sole proprietor health care provider with primary practice located at 40 Airport Rd , Waterville ME 04901-4524. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Moon, Jennifer Alice can be contacted via phone (207) 872-7272.

Contact Information

Primary practice address
40 Airport Rd Waterville ME 04901-4524
Phone: (207) 872-7272
Fax: (207) 872-0639
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAC7790 Maine

Profile Details

NPI number 1124891445
LBN Legal business name Moon, Jennifer Alice
Credentials CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2023
Last updated Oct 31st, 2023 - about 3 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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