Individual provider · Type 1 NPI

Thomas John Kelly, LADC

Addiction (Substance Use Disorder) Counselor · Westbrook, ME

NPI number 1477030823 Active

Practice location

1 Delta Dr
Westbrook, ME 04092-4745

Call (207) 853-7227 Map

Fax (207) 856-2112

Mailing address

10 Brookside Dr
Cumberland, ME 04021-4057

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLC3444 (ME)

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

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About NPI 1477030823

Thomas John Kelly, LADC's National Provider Identifier is 1477030823, issued on Jul 27, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Westbrook, ME. The record was last updated on Jul 27, 2018.