Kassel, Jeannette Lisa

Kassel, Jeannette Lisa is an individual health care provider with primary practice located at 66 Stone St , Augusta ME 04330-5227. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Kassel, Jeannette Lisa can be contacted via phone (207) 557-2306.

Contact Information

Primary practice address
66 Stone St Augusta ME 04330-5227
Phone: (207) 557-2306
Fax: (207) 626-3612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X CC 516 Maine

Profile Details

NPI number 1346347176
LBN Legal business name Kassel, Jeannette Lisa
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Mar 18th, 2024 - about 8 months 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 1346347176 NPPES
Maine MEDICAID 431509899

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