Individual
NICHOLAS JON PELKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
96 HARLOW ST, SUITE 360, BANGOR, ME 04401-4925
(207) 945-9777
(207) 945-9780
Mailing address
96 HARLOW ST, SUITE 360, BANGOR, ME 04401-4925
(207) 945-9777
(207) 945-9780
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC5699
ME
Other
Enumeration date
07/12/2011
Last updated
02/28/2020
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