JENNIFER L PELLETIER LSW
NPI 1437373313
Counselor in Randolph, ME

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since April 12, 2007

9 HILLCREST AVE, RANDOLPH, ME 04346(207) 582-9206(207) 582-9652 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jennifer L Pelletier Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER L PELLETIER LSW (NPI 1437373313) is an individual counselor in Randolph, Maine, licensed in Maine (CC4825) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1437373313

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameJENNIFER L PELLETIERCredential: LSW

Location Address9 HILLCREST AVERandolph, ME 04346-5131

Mailing Address899 Riverside StPortland, ME 04103-1070 · (207) 871-1200 · Fax (207) 871-1232

Phone(207) 582-9206

Fax(207) 582-9652

Sole ProprietorNo

Enumeration DateApril 12, 2007

Last NPPES UpdateMay 16, 2019

✔ NPI 1437373313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in ME · CC4825

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedContractorTaxonomy 171W00000X · License LS6727 (ME)

9 HILLCREST AVE, Randolph, ME 04346

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