Jack Chellis, CADC
Counselor, Addiction (Substance Use Disorder) in Old Orchard Beach, Maine
1114317179- Practice location
- 28 Portland Ave, Old Orchard Beach, ME 04064-2212
- Phone
- 207-934-5231
- Fax
- 207-934-5139
- Last updated
- January 29, 2015
Jack Chellis is a Counselor, Addiction (Substance Use Disorder) based in Old Orchard Beach, ME. 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 (ME). The current practice location address for Jack Chellis is 28 Portland Ave, Old Orchard Beach, ME 04064-2212 and can be reached out via phone at 207-934-5231 and via fax at 207-934-5139.
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
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 29, 2015
- Last Update Date
- January 29, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 28 Portland Ave
Old Orchard Beach, ME 04064-2212 - State
- Maine
- Zip
- 04064-2212
- Phone Number
- 207-934-5231
- Fax Number
- 207-934-5139
Provider Business Mailing Address Details
- Address
- 28 Portland Ave
Old Orchard Beach, ME 04064-2212 - City
- Old Orchard Beach
- State
- ME
- Zip
- 04064-2212
- Phone Number
- 207-934-5231
- Fax Number
- 207-934-5139
License Information
- License Number
- CAC5765
- License State
- ME
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near Old Orchard Beach, ME
View all Counselor, Addiction (Substance Use Disorder) providers in Old Orchard Beach →- Angela Giberti, CADCCounselor, Addiction (Substance Use Disorder) · NPI 1891621603
- Charles Cardoza, CADCCounselor, Addiction (Substance Use Disorder) · NPI 1609304468
- Evan M Jewell, CADCCounselor, Addiction (Substance Use Disorder) · NPI 1457042863
- Jayme Villanueva, LADCCounselor, Addiction (Substance Use Disorder) · NPI 1154778397
- Joseph ParentCounselor, Addiction (Substance Use Disorder) · NPI 1366378093
- Karen P Dauphinais, CADCCounselor, Addiction (Substance Use Disorder) · NPI 1548951957
Frequently Asked Questions
What is the NPI number of Jack Chellis, CADC?
The NPI number of Jack Chellis, CADC is 1114317179. It was assigned on January 29, 2015 and is currently active in the NPPES registry.
What is the specialty of Jack Chellis, CADC?
Jack Chellis, CADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in ME under license number CAC5765.
Where does Jack Chellis, CADC practice?
The practice location is 28 Portland Ave, Old Orchard Beach, ME 04064-2212. The office can be reached at 207-934-5231 (phone) or 207-934-5139 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114317179 directly on the NPPES registry website.