Individual
TAMMY L KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LADC
Contact information
Practice address
235 MAIN ST, BIDDEFORD, ME 04005-2411
(207) 283-7660
(207) 283-7664
Mailing address
235 MAIN ST, BIDDEFORD, ME 04005-2411
(207) 283-7660
(207) 283-7664
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC4021
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC4770
ME
101YM0800X
Mental Health Counselor
—
ME
1041C0700X
Clinical Social Worker
Primary
LC16689
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103850000
MAINECARE
ME
Enumeration date
09/28/2007
Last updated
03/25/2026
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