Kienzle, Janice L

Kienzle, Janice L is an sole proprietor health care provider with primary practice located at 884 Broadway Ste 13 , South Portland ME 04106-4371. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Kienzle, Janice L can be contacted via phone (207) 747-8242.

Contact Information

Primary practice address
884 Broadway Ste 13 South Portland ME 04106-4371
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC002856 Pennsylvania
Behavioral Health & Social Service Providers / Professional 101YP2500X CC4433 Maine

Profile Details

NPI number 1053343897
LBN Legal business name Kienzle, Janice L
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Jul 24th, 2015 - about 10 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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