Individual
JAMES L MELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC, CCS
Contact information
Practice address
28 CONGRESS ST, RUMFORD, ME 04276-2092
(207) 364-7006
(207) 364-7007
Mailing address
28 CONGRESS ST, RUMFORD, ME 04276-2092
(207) 364-7006
(207) 364-7007
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CCS2848
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC1673
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
431878099
MAINECARE
ME
Enumeration date
09/21/2009
Last updated
09/21/2009
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