IndividualActive
Jeanette Good, LPC PHD
NPI 1629264452 · Pastoral Counselor · South Portland, ME
Provider details
- NPI number
- 1629264452
- Entity type
- Individual
- Primary specialty
- Pastoral CounselorBehavioral Health & Social Service Providers
- Credential
- LPC PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- LP 2072 (ME)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
884 Broadway
South Portland, ME 04106
Phone: (207) 767-1165
Approximate (ZIP-level) locationGet directions
Mailing address
146 W Grand Avenue
Old Orchard Beach, ME 04064
Registry dates
- Enumerated
- 2007-09-14
- Last updated
- 2007-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.