Bethanie Jacques, LCPC is a professional counselor in Portland, ME. Bethanie Jacques, LCPC NPI is 1669732152. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
741 WARREN AVE
PORTLAND, ME
ZIP 04103-007
Phone: (207) 879-6165
Fax: (207) 879-7466
The NPI 1669732152 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 5/18/2012 and was last updated on 7/24/2022.