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Contact Information

JESSICA L DISANTO, LCPC, CADC
474 MAIN ST
SPRINGVALE, ME04083-1409
 Phone: 207-324-1500
 Fax: 207-490-5263
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JESSICA L DISANTO · (Female)

NPI # 1750782702
Status Active
Credentials LCPC, CADC
Entity Individual
Enumeration date 09/09/2014
Last updated 05/09/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • ME License # CAC4355
  • ME License # CC4820
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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