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