Individual
MS. SALLY ANN KECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCS, LADC, TTS-C
Contact information
Practice address
15 HOSPITAL DR, COTTAGE PROGRAM, YORK, ME 03909-1011
(207) 351-2430
(207) 351-2189
Mailing address
15 HOSPITAL DR, COTTAGE PROGRAM, YORK, ME 03909-1011
(207) 351-2430
(207) 351-2189
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
319402
ME
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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