IndividualActive
Jessica Disanto, LCPC, CADC
NPI 1750782702 · Professional Counselor · Springvale, ME
Provider details
- NPI number
- 1750782702
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC, CADC
- Sex
- Female
- Sole proprietor
- No
- License
- CC4820 (ME)
Practice location
474 Main St
Springvale, ME 04083-1409
Phone: (207) 324-1500
Fax: (207) 490-5263
Mailing address
190 Riverside St
Portland, ME 04103-1073
Registry dates
- Enumerated
- 2014-09-09
- Last updated
- 2017-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.