Individual
DAVID E PELKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
96 HARLOW ST, SUITE 340, BANGOR, ME 04401-4925
(207) 945-9777
(207) 945-9777
Mailing address
96 HARLOW ST, SUITE 340, BANGOR, ME 04401-4925
(207) 945-9777
(207) 945-9777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
516606
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432484399
—
ME
Enumeration date
05/22/2009
Last updated
05/22/2009
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