Individual
MR. KYLE CALISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ADCA
Contact information
Practice address
12 BEECH ST, CALAIS, ME 04619-1203
(207) 454-1300
(207) 454-1332
Mailing address
12 BEECH ST, CALAIS, ME 04619-1203
(207) 454-1300
(207) 454-1332
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AD7442
—
ME
Enumeration date
03/24/2022
Last updated
03/24/2022
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