Healthcare Provider Details

I. General information

NPI: 1497624266
Provider Name (Legal Business Name): ASHLEY BRITTANY JARAMILLO LCPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2025
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 MAIN ST
FARMINGTON ME
04938-1911
US

IV. Provider business mailing address

96 MAIN ST
LIVERMORE FALLS ME
04254-1511
US

V. Phone/Fax

Practice location:
  • Phone: 207-897-9000
  • Fax: 207-520-2373
Mailing address:
  • Phone: 207-645-9770
  • Fax: 208-520-2373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberXL8422
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: