Provider Demographics
NPI:1992026322
Name:GEE, JAN M (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JAN
Middle Name:M
Last Name:GEE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:JAN
Other - Middle Name:M
Other - Last Name:MACQUINN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:53 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:ELLSWORTH
Mailing Address - State:ME
Mailing Address - Zip Code:04605-1915
Mailing Address - Country:US
Mailing Address - Phone:207-664-0491
Mailing Address - Fax:207-664-0492
Practice Address - Street 1:53 CHURCH ST
Practice Address - Street 2:
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605-1915
Practice Address - Country:US
Practice Address - Phone:207-664-0491
Practice Address - Fax:207-664-0492
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010920801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical