Individual
KATE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
14 WINTER ST, SANFORD, ME 04073-3322
(207) 324-4054
Mailing address
90 WESTERN AVE, AUGUSTA, ME 04330-7270
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC8649
ME
101YM0800X
Mental Health Counselor
Primary
XL7870
ME
Other
Enumeration date
11/30/2023
Last updated
04/08/2025
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