Wood, Jennifer C

Wood, Jennifer C is an individual health care provider with primary practice located at 300 Pine St , Lewiston ME 04240-6309. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wood, Jennifer C can be contacted via phone (207) 777-3399.

Contact Information

Primary practice address
300 Pine St Lewiston ME 04240-6309
Phone: (207) 777-3399
Fax: (207) 777-3391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC2287 Maine
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC10560 Maine

Profile Details

NPI number 1144492562
LBN Legal business name Wood, Jennifer C
Credentials LADC, LCSW, CCS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2008
Last updated Nov 2nd, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144492562 NPPES
Maine MEDICAID 253490099

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