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Contact Information

JACQUELYN POULIN, LCPC, ATR
8 NORTHERN RD
PRESQUE ISLE, ME04769
 Phone: 207-764-7219
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Art Therapist

221700000X
Indicates primary specialty

NPI Profile & details for JACQUELYN POULIN · (Female)

NPI Number 1720471378
Status Active
Credentials LCPC, ATR
Entity Individual
Enumeration date 03/06/2015
Last updated 05/06/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • ME License # 17-064
  • ME License # CC5072
  • ME License # XL4381
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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