MS. Sally Ann Keck, MA, CCS, LADC, TTS-C

NPI #1558565770 in York, Maine

Provider Information

NPI Number: 1558565770
Entity Type: Individual
Name: MS. Sally Ann Keck, MA, CCS, LADC, TTS-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: MA, CCS, LADC, TTS-C
Enumeration Date: Jun 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 15 HOSPITAL DR
Address 2: COTTAGE PROGRAM
City: York
State: Maine
ZIP Code: 03909-1011
Phone: (207) 351-2430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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