Provider Demographics
NPI:1881078541
Name:SPRING, JOANNE VERONICA (LCPC)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:VERONICA
Last Name:SPRING
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 1:327 ALLEN RD
Mailing Address - Street 2:
Mailing Address - City:WELLS
Mailing Address - State:ME
Mailing Address - Zip Code:04090-7228
Mailing Address - Country:US
Mailing Address - Phone:207-226-0876
Mailing Address - Fax:207-226-0876
Practice Address - Street 1:184 CHICK CROSSING RD
Practice Address - Street 2:
Practice Address - City:WELLS
Practice Address - State:ME
Practice Address - Zip Code:04090-6201
Practice Address - Country:US
Practice Address - Phone:207-216-7020
Practice Address - Fax:207-226-0876
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-13
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC2753101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional