person
Kelley A Johnston
Addiction (Substance Use Disorder) Counselor in Presque Isle, Maine
NPI 1740476159

Kelley A Johnston is an Addiction (Substance Use Disorder) Counselor based in Presque Isle, ME and is specialized in Addiction (Substance Use Disorder). Kelley A Johnston practices in Presque Isle, ME. The NPI Number for Kelley A Johnston is 1740476159 and holds a License No. CAC3787 (Maine).

The current practice location address for Kelley A Johnston is 147 Academy St, Presque Isle, ME and can be reached out via phone at 207-764-6825 and via fax at 207-764-6077. You can also correspond with Kelley A Johnston through the mailing address at PO BOX 509, PRESQUE ISLE, ME - 04769-0509 (mailing address contact number: 207-764-6825).

Location: 147 Academy St, Presque Isle, ME, 04769-0509
person
Provider Profile Details
NPI Number
1740476159
Provider Name
Kelley A Johnston
Credential
Provider Entity Type
Individual
Gender
Female
Address
147 Academy St, Presque Isle, ME, 04769-0509
Phone Number
207-764-6825
Fax Number
207-764-6077
Provider Enumeration Date
09/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1740476159 05 ME
institution
Provider Business Practice Location Address Details
Address
147 Academy St
City
State
Zip
04769-3101
Phone Number
207-764-6825
Fax Number
207-764-6077
person
Provider Business Mailing Address Details
Address
Po Box 509
City
State
Zip
04769-0509
Phone Number
207-764-6825
Fax Number
207-764-6077
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Maine)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CAC3787 (Maine)
Definition
Definition to come...
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