TRENA JACKSON

LEWISTON, ME
NPI1609563899
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  LC8895)
Enumeration Date2023-04-19
Last Update Date2024-10-07
Business Address
TRENA JACKSON LADC
18 MOLLISON WAY
LEWISTON, ME 04240-5811
Phone number: 207-312-6860
Mailing Address
TRENA JACKSON LADC
309 CENTRAL AVE APT 2
LEWISTON, ME 04240-4620
Phone number: 207-713-3757
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