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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER L PELLETIER, LSW

Active

JENNIFER L PELLETIER, LSW is a Counselor healthcare provider located in RANDOLPH, Maine. NPI 1437373313 is currently active in the NPPES registry. Verify at CMS.

Counselor · RANDOLPH, ME

Registration Details

NPI Number
1437373313
Provider Type
Individual
Gender
Female
NPI Issued
Apr 12, 2007 (19.297867990021 yrs)
Last Updated
May 16, 2019
Licenses
LS6727 (ME)
CC4825 (ME)

Practice Information

Address
9 HILLCREST AVE
RANDOLPH, ME, 043465131
Browse ME providers · Browse ZIP 04346
Phone
2075829206
Fax
2075829652
Primary Specialty
Counselor
101Y00000X
Additional Specialty
Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.