THOMAS JOHN KELLY

WESTBROOK, ME
NPI1477030823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  LC3444)
Enumeration Date2018-07-27
Last Update Date2018-07-27
Business Address
THOMAS JOHN KELLY LADC
1 DELTA DR
WESTBROOK, ME 04092-4745
Phone number: 207-853-7227
Mailing Address
THOMAS JOHN KELLY LADC
10 BROOKSIDE DR
CUMBERLAND, ME 04021-4057
Phone number: 207-357-3774