Individual provider · Type 1 NPI

Kelley A. Johnston

Addiction (Substance Use Disorder) Counselor · Presque Isle, ME

NPI number 1740476159 Active

Practice location

147 Academy St
Presque Isle, ME 04769-3101

Fax (207) 764-6077

Mailing address

PO Box 509
Presque Isle, ME 04769-0509

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCAC3787 (ME)
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLC4577 (ME)

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

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About NPI 1740476159

Kelley A. Johnston's National Provider Identifier is 1740476159, issued on Sep 19, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Presque Isle, ME. The record was last updated on Oct 7, 2019.