person
Jack Chellis, CADC
Addiction (Substance Use Disorder) Counselor in Old Orchard Beach, Maine
NPI 1114317179

Jack Chellis is an Addiction (Substance Use Disorder) Counselor based in Old Orchard Beach, ME and is specialized in Addiction (Substance Use Disorder). Jack Chellis practices in Old Orchard Beach, ME and has the professional credentials of CADC. The NPI Number for Jack Chellis is 1114317179 and holds a License No. CAC5765 (Maine).

The current practice location address for Jack Chellis is 28 Portland Ave, Old Orchard Beach, ME and can be reached out via phone at 207-934-5231 and via fax at 207-934-5139.

Location: 28 Portland Ave, Old Orchard Beach, ME, 04064-2212
person
Provider Profile Details
NPI Number
1114317179
Provider Name
Jack Chellis
Credential
CADC
Provider Entity Type
Individual
Gender
Male
Address
28 Portland Ave, Old Orchard Beach, ME, 04064-2212
Phone Number
207-934-5231
Fax Number
207-934-5139
Provider Enumeration Date
01/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
28 Portland Ave
City
State
Zip
04064-2212
Phone Number
207-934-5231
Fax Number
207-934-5139
person
Provider Business Mailing Address Details
Address
28 Portland Ave
City
State
Zip
04064-2212
Phone Number
207-934-5231
Fax Number
207-934-5139
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CAC5765 (Maine)
Definition
Definition to come...
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