Jesse Daniel Audet, | |
1155 Lisbon St, Lewiston, ME 04240-5025 | |
(207) 754-7473 | |
Not Available |
Full Name | Jesse Daniel Audet |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1155 Lisbon St, Lewiston, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245872001 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MC18121 (Maine) | Primary |
Entity Name | Community Clinical Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164477568 PECOS PAC ID: 0042101099 Enrollment ID: O20040513000884 |
Mailing Address | Practice Location Address |
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Jesse Daniel Audet, 9 Jans Blvd, Lewiston, ME 04240-1642 Ph: () - | Jesse Daniel Audet, 1155 Lisbon St, Lewiston, ME 04240-5025 Ph: (207) 754-7473 |
Martin Joseph Obrien, MARTIN OBRIEN Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Middle St, Lewiston, ME 04240 Phone: 207-212-9258 | |
Savannah M. Grover, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1155 Lisbon St, Lewiston, ME 04240 Phone: 207-783-9141 | |
Ken D Morris, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 134 Main St, Lewiston, ME 04240 Phone: 207-513-2796 | |
Mr. Joseph M Graham, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Pine St, Lewiston, ME 04240 Phone: 207-777-3399 Fax: 207-777-3391 | |
Aidan Sinclair, MHRT-C, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 East Ave, Lewiston, ME 04240 Phone: 207-777-3399 | |
Bronte Roberts, LCPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 76 High St, Lewiston, ME 04240 Phone: 207-795-2800 | |
Mrs. Brandi Masten, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Middle St, Suite 1, Lewiston, ME 04240 Phone: 207-795-0149 |