MRS. JACQUELYN POULIN (NPI# 1720471378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720471378 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELYN POULIN |
| Other Name | JACQUELYN RAYMOND |
| Credential | LCPC, ATR |
| Practice Address |
8 Northern Rd Presque Isle ME 04769 |
| Practice Telephone | 2077647219 |
| Mailing Telephone | 2077647219 |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2020-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CC5072 | ME | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
XL4381 | ME | Behavioral Health & Social Service Providers |
| N | 221700000X | Art Therapist | 17-064 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8 NORTHERN RD |
| City | PRESQUE ISLE |
| State | ME |
| Zip Code | 04769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306804174 | Cuong Gia Nguyen | Dentist | 8 Northern Rd, Presque Isle, ME 04769-2040 | 2006-05-02 |
| 1881232346 | Micmac Health Department | Clinic/Center | 8 Northern Rd, Presque Isle, ME 04769-2040 | 2019-12-16 |
| 1942437439 | Elizabeth A Cote Estrada | Anesthesiology | 8 Northern Rd, Presque Isle, ME 04769-2040 | 2009-06-11 |
| 1831312313 | Micmac Health Department | Clinic/Center | 8 Northern Rd, Presque Isle, ME 04769-2040 | 2007-04-11 |
| 1306924378 | David Mark Cyr | Social Worker | 8 Northern Rd, Presque Isle, ME 04769-2040 | 2006-11-01 |
| 1316031016 | Stephen Anthony Skaleski | Family Medicine | 8 Northern Rd, Presque Isle, ME 04769-2040 | 2006-10-03 |
| 1467476937 | James W Leete | Family Medicine | 8 Northern Rd, Presque Isle, ME 04769-2040 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871088070 | Hong Na Yang | Dentist | 122 Academy Street, Presque Isle, Presque Isle, ME 04769 | 2018-06-29 |
| 1588185409 | Dwight David Hubacher | Physical Therapy Assistant | 162 Academy Strret, Presque Isle, ME 04769 | 2017-06-30 |
| 1831561562 | Vna Home Health & Hospice | Home Health | 18 Green Hill Rd Ste 1, Presque Isle, ME 04769 | 2015-10-21 |
| 1225439581 | A & L Clinical Services | Community/Behavioral Health | 742 Main Street, Presque Isle, ME 04769 | 2014-09-05 |
| 1568728343 | Enrique Octavio Bujanda-morun | Surgery | Ar Gould Hospital 140 Academy St, Presque Isle, ME 04769 | 2012-04-06 |
| 1669659603 | Susan Cambridge Dick | Occupational Therapist | 10 Bernadette, Caribou Rehab and Nursing Center, Caribou, ME 04769 | 2008-01-22 |
| 1285826792 | Osama Aziz | Internal Medicine | 146 Academy St, Suite 1b, The Aroostook Medical Center, Presque Isle, ME 04769 | 2007-08-17 |
| 1831220250 | Rachel Mary Swartz | Obstetrics & Gynecology | 140 Academy St Ste 4, Presque Isle, ME 04769 | 2007-03-08 |
| 1114053634 | Ralph U Scheidler | Social Worker | 20 Dyer Street, Community Care, Presque Isle, ME 04769 | 2007-02-26 |
| 1427158716 | Venkatram Nethala | Internal Medicine | 146 Academy Street, Suite 1b, Presque Isle, ME 04769 | 2006-09-25 |
| Find all providers in zip 04769 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629265145 | Ashley D. Thibodeau | Counselor | 2 Airport Dr, Presque Isle, ME 04769-2041 | 2007-09-28 |
| 1578922654 | Alexandra Green | Counselor | 162 Main St, Presque Isle, ME 04769-2817 | 2016-02-17 |
| 1649653635 | Charlotte Hanning | Counselor | 162 Main St, Presque Isle, ME 04769-2817 | 2015-07-08 |
| 1528459203 | Claudette Edgecomb | Counselor | 162 Main St, Presque Isle, ME 04769-2817 | 2015-02-17 |
| 1124418850 | Donald L Gibson | Counselor | 1 Edgemont Dr, Presque Isle, ME 04769-2036 | 2015-02-03 |
| 1255739553 | Leanna Kimball | Counselor | 162 Main St, Presque Isle, ME 04769-2817 | 2014-12-18 |
| 1336545896 | Abigail Saucier | Counselor | 162 Main St, Presque Isle, ME 04769-2817 | 2014-11-11 |
| 1750781522 | Vicki Mallory-flannery | Counselor | 162 Main St, Presque Isle, ME 04769-2817 | 2014-08-29 |
| 1518376516 | Elizabeth Flagg | Counselor | 162 Main St, Presque Isle, ME 04769-2817 | 2014-08-05 |
| 1619385697 | Jonathan Mcquarrie | Counselor | 162 Main St, Presque Isle, ME 04769-2817 | 2014-07-23 |
| Find all providers in PRESQUE ISLE | ||||
| City | PRESQUE ISLE |
| Zip Code | 04769 |
Please comment or provide details below to improve the information on MRS. JACQUELYN POULIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.