Individual
JENNIFER KELLEY-YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
11 BAXTER BLVD, PORTLAND, ME 04101-1801
(207) 775-5671
(207) 871-1243
Mailing address
11 BAXTER BLVD, PORTLAND, ME 04101-1801
(207) 775-5671
(207) 871-1243
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC6257
ME
Other
Enumeration date
11/15/2012
Last updated
07/08/2019
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