Individual
KATE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
186 MAIN ST STE 2, FARMINGTON, ME 04938-1904
(207) 578-2219
(207) 778-4999
Mailing address
150 CONGRESS ST, RUMFORD, ME 04276-2035
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC4705
ME
101YP2500X
Professional Counselor
Primary
CC4117
ME
101YP2500X
Professional Counselor
XL3710
ME
Other
Enumeration date
03/31/2011
Last updated
03/30/2018
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