Local City Search for Psychiatrists, Psychologists, Therapists, Counselors and Mental Health Treatment CentersMS. JENNIFER WARREN GREAVES L.C.S.W., L.A.D.C.
Addiction Substance Use Disorder
Portland, Maine
Provider NPI: 1902865397
Provider Information:MS. JENNIFER WARREN GREAVES L.C.S.W., L.A.D.C.
Gender: F
Sole Proprietor
Practice Location:
106 SKYLARK RD PORTLAND, ME 04103 US
Tel: 207-831-2580 Fax: 207-221-2957
Business Mailing Address:
95 PARKER ST STE 5 NEWBURYPORT, MA 01950 US
Tel: 207-773-3300 Fax: --
Entity Type: Individual
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | ME | LC1990 |
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker | ME | LC2965 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 328620099 | ME | 05 | |
| ANTHEM | 079201 | ME | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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