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Individual

JAMES B SKELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW, LCAS,LADC, CSI

Contact information

Practice address
160 PREBLE ST, PORTLAND, ME 04101-2426
(207) 791-2000
Mailing address
160 PREBLE ST, PORTLAND, ME 04101-2426
(207) 791-2000

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC7733
ME
1041C0700X
Clinical Social Worker
P013480
NC

Other

Enumeration date
01/02/2020
Last updated
07/08/2021
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