Jack Chellis, CADC
NPI #1114317179 in Old Orchard Beach, Maine
Provider Information
- NPI Number
- 1114317179
- Entity Type
- Individual
- Name
- Jack Chellis, CADC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CADC
- Enumeration Date
- Jan 29, 2015
- Last Updated
- Jan 29, 2015
Practice Location
- Address
- 28 PORTLAND AVE
- State
- Maine
- ZIP Code
- 04064-2212
- Phone
- (207) 934-5231
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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