Individual
ABIGAIL PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHRT-C, CADC
Contact information
Practice address
43 HATCH DR, CARIBOU, ME 04736-2161
(207) 498-6431
Mailing address
PO BOX 1018, CARIBOU, ME 04736-1018
(207) 498-6431
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC6447
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010276859
—
ME
Enumeration date
10/24/2017
Last updated
10/24/2017
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