Individual
KRISTINA JADE COLBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
90 WESTERN AVE, AUGUSTA, ME 04330-7270
(207) 245-1800
(207) 621-0643
Mailing address
90 WESTERN AVE, AUGUSTA, ME 04330-7270
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC8603
ME
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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