Provider Demographics
NPI:1821240292
Name:JEAN N. HAIR COUNSELING SERVICES INCE
Entity Type:Organization
Organization Name:JEAN N. HAIR COUNSELING SERVICES INCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:HAIR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:207-465-9369
Mailing Address - Street 1:PO BOX 667
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04963-0667
Mailing Address - Country:US
Mailing Address - Phone:207-465-9369
Mailing Address - Fax:
Practice Address - Street 1:1783 POND ROAD
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:ME
Practice Address - Zip Code:04330
Practice Address - Country:US
Practice Address - Phone:207-465-9369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC6435251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health