Jennifer Formicola, LCSW is an addiction (substance use disorder) counselor in Portland, ME. Jennifer Formicola, LCSW NPI is 1174163026. 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:
160 PREBLE ST
PORTLAND, ME
ZIP 04101-426
Phone: (207) 420-0601
The enumeration date for this NPI number is 1/8/2020 and was last updated on 1/8/2020.