Provider Demographics
NPI:1467218800
Name:DEL MURO, JOCELYN (LCPC)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:
Last Name:DEL MURO
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 94
Mailing Address - Street 2:
Mailing Address - City:ROUND POND
Mailing Address - State:ME
Mailing Address - Zip Code:04564-0094
Mailing Address - Country:US
Mailing Address - Phone:978-219-4181
Mailing Address - Fax:
Practice Address - Street 1:57 EXCHANGE ST STE 402
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-5050
Practice Address - Country:US
Practice Address - Phone:978-219-4181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC6929101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health