Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Emilie Ann Irene Jacobsen, ADCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1407685563

Emilie Ann Irene Jacobsen, ADCA is an Addiction (Substance Use Disorder) Counselor in Bangor, Maine. Licensed in Maine. Registered with an NPI since 2024.

Licensed in
ME
In the registry since
2024

Practice location Address checks out

689 Odlin Rd
Bangor, ME 04401-6709
Phone: (207) 947-6800
Fax: (207) 947-6872
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence AD8843 (ME)

Record details

NPI number1407685563
Entity typeIndividual (Type 1)
GenderFemale
Credentials ADCA
Sole proprietorNo
NPI enumeratedJuly 29, 2024
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024

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