| Jason William Nickerson, CADC | |
|
72 Auburn St, Portland, ME 04103-2104 | |
| (207) 245-1800 | |
| (207) 899-1599 |
| Full Name | Jason William Nickerson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 72 Auburn St, Portland, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841722378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAC5536 (Maine) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jason William Nickerson, CADC 72 Auburn St, Portland, ME 04103-2104 Ph: (207) 245-1800 | Jason William Nickerson, CADC 72 Auburn St, Portland, ME 04103-2104 Ph: (207) 245-1800 |
Maria A Moustrouphis, LCSW, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 77 Vermont Ave, Portland, ME 04103 Phone: 207-409-9487 | |
Katherine P Whittemore, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 1050 Forest Ave, Portland, ME 04103 Phone: 207-242-0443 | |
Scott W. Hutcherson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 Lancaster St, Portland, ME 04101 Phone: 207-874-1030 Fax: 207-874-1044 | |
Emily-anne Garland, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 576 Saint John St, Portland, ME 04102 Phone: 207-780-0020 Fax: 207-780-0022 | |
Michael H Freeman, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 Anderson St, Portland, ME 04101 Phone: 207-775-5671 Fax: 207-871-1243 | |
David R Arnold, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 Exchange St, Portland, ME 04101 Phone: 207-209-5067 | |
Rani Wilson, LCPC-CC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Washington Ave Ste 100, Portland, ME 04103 Phone: 207-871-1200 Fax: 207-871-1232 |