Provider Demographics
NPI:1194513952
Name:YESTRAMSKI, JOANNE (CADC)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:YESTRAMSKI
Suffix:
Gender:
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:193 CLARK ST APT 1
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04102-3834
Mailing Address - Country:US
Mailing Address - Phone:603-470-9556
Mailing Address - Fax:
Practice Address - Street 1:1 DELTA DR STE A
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092-4745
Practice Address - Country:US
Practice Address - Phone:207-856-7227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECAC9038101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)