Individual provider · Type 1 NPI

Jessica Marie Petrycki Dalessio, LADC, CCS

Addiction (Substance Use Disorder) Counselor · Bangor, ME

NPI number 1144861238 Active

Practice location

659 Hogan Rd
Bangor, ME 04401-3626

Call (207) 973-0400 Map

Other practice locations

  • 659 Hogan Rd, Bangor, ME 04401-3626 · (207) 973-0400

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1144861238

Jessica Marie Petrycki Dalessio, LADC, CCS's National Provider Identifier is 1144861238, issued on Oct 1, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bangor, ME. The record was last updated on Oct 1, 2019.