Jonathan Cross
Addiction (Substance Use Disorder) Counselor in Portland, ME(View on Map)
Full Name
Jonathan Cross
NPI Number
1851916886
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/16/2020
Specialties
(Taxonomies)Licenses
State
Maine
Maine
License Number
LC6907
CAC6296
Contact
Information
Purpose
Mailing
Location
Address
49 MONTROSE AVE APT 3
49 MONTROSE AVE APT 3
City
Portland
Portland
State
ME
ME
Postal Code
04103-2442
04103-2442
Country
US
US
Telephone Number
N/A
(207) 400-5122
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/19/2020
Provider Address
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