# ELIAS & KETEYIAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386814085
- **Authorized official:** MR. ROBERT KETEYIAN M.ED. (MENTAL HEALTH COUNSELOR)
- **Authorized official phone:** (207) 667-7735

## Contact information

- **Practice address:** 122 MAIN ST, ELLSWORTH, ME 04605-1919
- **Practice address phone:** (207) 667-7735
- **Mailing address:** 122 MAIN ST, ELLSWORTH, ME 04605-1919
- **Mailing address phone:** (207) 667-7735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | CC304 | ME | Yes |

## Other

- **Enumeration date:** 03/10/2008
- **Last updated:** 03/10/2008