Provider Demographics
NPI:1053564294
Name:PEARCE, JAMES HOLM (MFT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:HOLM
Last Name:PEARCE
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 SEA XING
Mailing Address - Street 2:
Mailing Address - City:ROQUE BLUFFS
Mailing Address - State:ME
Mailing Address - Zip Code:04654-3134
Mailing Address - Country:US
Mailing Address - Phone:207-263-3255
Mailing Address - Fax:
Practice Address - Street 1:567 MAIN STREET
Practice Address - Street 2:
Practice Address - City:EAST MACHIAS
Practice Address - State:ME
Practice Address - Zip Code:04630
Practice Address - Country:US
Practice Address - Phone:207-263-3255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-31
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 28644106H00000X
MEMF5229106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMF5229OtherBOARD OF COUNSELING PROFESSIONALS LICENSURE OF MAINE