Provider Demographics
NPI:1205973385
Name:LEMOLE, JOAN REBECCA (LCPC)
Entity type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:REBECCA
Last Name:LEMOLE
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 92
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04841-0092
Mailing Address - Country:US
Mailing Address - Phone:207-230-0414
Mailing Address - Fax:207-230-0414
Practice Address - Street 1:27 WASHINGTON ST
Practice Address - Street 2:SUITE 201
Practice Address - City:CAMDEN
Practice Address - State:ME
Practice Address - Zip Code:04843-1739
Practice Address - Country:US
Practice Address - Phone:207-230-0414
Practice Address - Fax:207-230-0414
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC1126101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health