Anderson, Jeffrey M.

Anderson, Jeffrey M. is an individual health care provider with primary practice located at 88 Fox St , Madawaska ME 04756-1352. He 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Anderson, Jeffrey M. can be contacted via phone (207) 728-6341.

Contact Information

Primary practice address
88 Fox St Madawaska ME 04756-1352
Phone: (207) 728-6341
Fax: (207) 728-7762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAC4176 Maine
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Maine

Profile Details

NPI number 1699944595
LBN Legal business name Anderson, Jeffrey M.
Credentials MHRT-C & CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2008
Last updated Jun 25th, 2008 - about 16 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 1699944595 NPPES
Maine Other 103850000 MAINE CARE

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