Active NPIIndividual provider

Ryan Kizitaff, ADC-A

Counselor, Addiction (Substance Use Disorder) in Calais, Maine

NPI Number1265083109
Practice location
12 Beech St, Calais, ME 04619-1203
Fax
—
Last updated
September 23, 2019

Ryan Kizitaff is a Counselor, Addiction (Substance Use Disorder) based in Calais, ME. Ryan Kizitaff practices in Calais, ME and has the professional credentials of ADC-A. The NPI Number for Ryan Kizitaff is 1265083109 and holds a License No. AD6912 (ME). The current practice location address for Ryan Kizitaff is 12 Beech St, Calais, ME 04619-1203 and can be reached out via phone at 207-454-1300.

Provider Profile Details

NPI Number
1265083109
Provider Name
Ryan Kizitaff
Credential
ADC-A
Provider Entity Type
Individual
Gender
Male
Address
12 Beech St, Calais, ME 04619-1203
Phone Number
207-454-1300
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
September 23, 2019
Last Update Date
September 23, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Beech St
Calais, ME 04619-1203
City
Calais
State
Maine
Zip
04619-1203
Phone Number
207-454-1300
Calais, ME 04619Get directions →

Provider Business Mailing Address Details

Address
12 Beech St
Calais, ME 04619-1203
City
Calais
State
ME
Zip
04619-1203
Phone Number
207-454-1300

License Information

License Number
AD6912
License State
ME
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ryan Kizitaff, ADC-A?

The NPI number of Ryan Kizitaff, ADC-A is 1265083109. It was assigned on September 23, 2019 and is currently active in the NPPES registry.

What is the specialty of Ryan Kizitaff, ADC-A?

Ryan Kizitaff, ADC-A is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in ME under license number AD6912.

Where does Ryan Kizitaff, ADC-A practice?

The practice location is 12 Beech St, Calais, ME 04619-1203. The office can be reached at 207-454-1300 (phone).

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 1265083109 directly on the NPPES registry website.

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