Provider Demographics
NPI:1689418311
Name:JOCELYN DELMURO
Entity type:Organization
Organization Name:JOCELYN DELMURO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / LCPC
Authorized Official - Prefix:
Authorized Official - First Name:JOCELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:DELMURO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-219-4181
Mailing Address - Street 1:PO BOX 94
Mailing Address - Street 2:
Mailing Address - City:ROUND POND
Mailing Address - State:ME
Mailing Address - Zip Code:04564-0094
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:57 EXCHANGE ST STE 402
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-5050
Practice Address - Country:US
Practice Address - Phone:978-219-4181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty