Individual
ALICE E MELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
268 STATE ST STE 2-3, BANGOR, ME 04401-5417
(207) 403-4261
Mailing address
268 STATE ST STE 2-3, BANGOR, ME 04401-5417
(207) 403-4261
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC5945
ME
Other
Enumeration date
07/19/2017
Last updated
07/21/2022
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