Provider Demographics
NPI:1689074163
Name:GREINER, JENNIFER (LCPC, ATR)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:GREINER
Suffix:
Gender:F
Credentials:LCPC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 STORER STREET
Mailing Address - Street 2:SUITE 201
Mailing Address - City:KENNEBUNK
Mailing Address - State:ME
Mailing Address - Zip Code:04043-7243
Mailing Address - Country:US
Mailing Address - Phone:073-589-6562
Mailing Address - Fax:
Practice Address - Street 1:2 STORER STREET
Practice Address - Street 2:SUITE 201
Practice Address - City:KENNEBUNK
Practice Address - State:ME
Practice Address - Zip Code:04043-0404
Practice Address - Country:US
Practice Address - Phone:207-358-9656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-03
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor