Individual
DAVID KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.P.C.
Contact information
Practice address
17 MASONIC ST, ROCKLAND, ME 04841-2808
(207) 975-4427
Mailing address
17 MASONIC ST, ROCKLAND, ME 04841-2808
(207) 975-4427
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC553
ME
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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