JESSICA N CARABALLO


Address: 401 Peter Dana Point Rd, Princeton, ME 04668
Phone: 2077962321

JESSICA N CARABALLO (NPI# 1740500255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740500255
Entity Type Individual
Full Name JESSICA N CARABALLO
Credential LCPC, CADC
Practice Address 401 Peter Dana Point Rd
Princeton
ME 04668
Mailing Address Po Box 97
Princeton
ME 04668-0097
Practice Telephone 2077962321
Mailing Telephone 2077962321
Enumeration Date 2010-06-07
Last Update Date 2019-07-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CAC6808 ME Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
CC4616 ME Behavioral Health & Social Service Providers

Other Providers JESSICA CARABALLO

NPI Name Taxonomy Address Enumeration
1437649100 Jessica Ann Caraballo Nurse Practitioner 1560 Central Ave Unit 420, Saint Petersburg, FL 33705-1625 2018-05-17

Office Location

Street Address 401 PETER DANA POINT RD
City PRINCETON
State ME
Zip Code 04668

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346363009 Indian Township Tribal Government Ambulance 443 Us Route 1, Princeton, ME 04668 2007-04-09
1689747479 Patricia Jean Todd-lewis Social Worker 1 Newell Drive, Princeton, ME 04668 2006-11-17
1043382658 Mary C Repole Dental Hygienist 401 Peter Dana Point Rd., Princeton, ME 04668 2006-11-15
1033281563 Dana Anthony Johnson Dentist 401 Peter Dana Point Road, Princeton, ME 04668 2006-11-13
1013096627 Truman L Gillette Pharmacist 401 Peter Dana Point, Princeton, ME 04668 2006-11-03
1689187544 Carol Francis Registered Nurse 401 Peter Dana Point Road, Princeton, ME 04668 2017-11-14
1831548437 Merlin J Francis Nurse Practitioner 401 Peter Dana Point Road, Princeton, ME 04668 2016-06-06
1083058044 Barbara Elizabeth Whipple Counselor 401 Peter Dana Point Road, Indian Township, ME 04668 2013-04-22
1285868042 Heather Lane Harriman Dental Hygienist 401 Peter Dana Point Road, Princeton, ME 04668 2009-05-08
1144489634 Michael J Driscoll Counselor 401 Peter Dana Point Road, Princeton, ME 04668 2008-06-09
Find all providers in zip 04668

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1952928012 Alice Fadiora Counselor 261 Washington Rd, Princeton, NJ 08540-6407 2020-07-06
1801412028 Kaily Marie Moore Counselor 1507 Wilderness St, Princeton, TX 75407-0675 2020-06-23
1376180679 Pretgraf Counselor 103 Carnegie Ctr Ste 104, Princeton, NJ 08540-6235 2019-12-05
1215596440 Karla Carey Counselor 400 S 2nd St Ste 125, Princeton, MN 55371-1878 2019-06-11
1093275893 Siobhan Strickhart Counselor 213 Commons Way, Princeton, NJ 08540-1508 2019-03-20
1235614629 Erica Tate Counselor 500 Brant Dr, Princeton, LA 71067-9332 2018-10-01
1821500422 Jennifer Marshall Counselor 245 Nassau St Unit C, Princeton, NJ 08540-4600 2017-11-04
1376053009 Julia Ann Gollas Counselor 103 Carnegie Ctr Ste 258, Princeton, NJ 08540-6235 2017-10-09
Find all providers in PRINCETON

Competitor

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City PRINCETON
Zip Code 04668

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Dataset Information

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.

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