| Lisa Dehahn Jade, LCPC, LADC, CCS | |
|
66 Baribeau Dr, Brunswick, ME 04011-3230 | |
| (207) 373-6991 | |
| (207) 373-6080 |
| Full Name | Lisa Dehahn Jade |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 66 Baribeau Dr, Brunswick, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265733208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LC3707 (Maine) | Secondary |
| 101YP2500X | Counselor - Professional | CC2672 (Maine) | Primary |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Dehahn Jade, LCPC, LADC, CCS 78 Atlantic Pl, South Portland, ME 04106-2316 Ph: (207) 661-6654 | Lisa Dehahn Jade, LCPC, LADC, CCS 66 Baribeau Dr, Brunswick, ME 04011-3230 Ph: (207) 373-6991 |
David R French, CADC Counselor Medicare: Medicare Enrolled Practice Location: 329 Bath Rd, Brunswick, ME 04011 Phone: 800-434-3000 | |
Luna Aurelia Colt, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Cumberland St, Brunswick, ME 04011 Phone: 802-595-3759 | |
Sandra J Smith, LADC, CCS, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Baribeau Dr, Suite 1a, Brunswick, ME 04011 Phone: 207-373-6996 Fax: 207-373-6959 | |
Marie Ann Abrahams, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 153 Park Row, Brunswick, ME 04011 Phone: 207-504-3587 | |
Bryan Smith, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Baribeau Dr, Suite 1a, Brunswick, ME 04011 Phone: 207-373-6971 Fax: 207-373-6959 | |
Ms. Emily M Michaud, LCPC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 66 Baribeau Dr Ste 2, Brunswick, ME 04011 Phone: 207-373-9741 Fax: 207-373-9494 | |
Andrea Harkins, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 Maine St Ste 8, Brunswick, ME 04011 Phone: 207-274-7314 |