MS. Jean Anne Feldeisen, LCSW, LADC

NPI #1396858809 in Gardiner, Maine

Provider Information

NPI Number: 1396858809
Entity Type: Individual
Name: MS. Jean Anne Feldeisen, LCSW, LADC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LCSW, LADC
Enumeration Date: Aug 17, 2006
Last Updated: Sep 29, 2010

Practice Location

Address: 17 BRUNSWICK AVENUE
Address 2: SUITE 6
City: Gardiner
State: Maine
ZIP Code: 04345-2123
Phone: (207) 588-0040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X
Social Worker	104100000X	Primary

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