About

Jason William Nickerson is a Addiction Counselor in Portland, Maine. He has over 7 years of experience. He is affiliated with Grace Street Services, LLC (also known as Grace Street Services Portland). Contact Jason William Nickerson to request his Medicare information, payment methods he accepts, or to book an appointment.

Basic Data

Entity Type: Individual; Not Sole Proprietor

Organization Name: Grace Street Services, LLC

Gender

Male

Years in Practice

7 years

Healthcare Provider Taxonomy

  • Code: 101YA0400X
  • Grouping: Behavioral Health & Social Service Providers
  • Classification: Counselor
  • Specialization: Addiction

Credentials

  • Clinical Alcohol and Drug Counselor (CADC)

Licenses

Name License Number State
Counselor CAC5536 Verify ME

Practice Locations

72 Auburn St

Portland, ME 04103-2104

Phone Number: (207) 245-1800

Fax Number: (207) 899-1599

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