KELLEY ELIZABETH MACKENZIE

SOUTH PORTLAND, ME
NPI1740587666
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ME  LC3942)
Enumeration Date2011-02-13
Last Update Date2011-02-13
Business Address
MS. KELLEY ELIZABETH MACKENZIE MS, LADC
650 MAIN ST SUITE 103
SOUTH PORTLAND, ME 04106-5448
Phone number: 207-774-4564
Mailing Address
MS. KELLEY ELIZABETH MACKENZIE MS, LADC
650 MAIN ST SUITE 103
SOUTH PORTLAND, ME 04106-5448
Phone number: 207-774-4564