IndividualActive
Jessica Mellon, LCPC-C
NPI 1356090567 · Mental Health Counselor · Freeport, ME
Provider details
- NPI number
- 1356090567
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC-C
- Sex
- Female
- Sole proprietor
- No
- License
- XL6564 (ME)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
15 Flying Point Rd
Freeport, ME 04032-6435
Phone: (207) 577-7527
Approximate (ZIP-level) locationGet directions
Mailing address
15 Flying Point Rd
Freeport, ME 04032-6435
Registry dates
- Enumerated
- 2022-03-23
- Last updated
- 2022-03-23
- Certified
- 2022-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.