| Jack Chellis, CADC | |
|
28 Portland Ave, Old Orchard Beach, ME 04064-2212 | |
| (207) 934-5231 | |
| (207) 934-5139 |
| Full Name | Jack Chellis |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 28 Portland Ave, Old Orchard Beach, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114317179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAC5765 (Maine) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Chellis, CADC 28 Portland Ave, Old Orchard Beach, ME 04064-2212 Ph: (207) 934-5231 | Jack Chellis, CADC 28 Portland Ave, Old Orchard Beach, ME 04064-2212 Ph: (207) 934-5231 |
John Swasey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Ocean Ave Apt 3, Old Orchard Beach, ME 04064 Phone: 603-312-0751 | |
Mrs. Debra D Guarino, LADC/CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 156 Ross Rd, Old Orchard Beach, ME 04064 Phone: 207-710-1644 | |
Mr. Brendon D Sewall, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 28 Portland Ave, Old Orchard Beach, ME 04064 Phone: 207-934-5231 | |
Jayme Villanueva, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 28 Portland Ave, Old Orchard Beach, ME 04064 Phone: 207-937-7001 Fax: 207-934-5139 | |
Roland Thibault, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 28 Portland Ave, Old Orchard Beach, ME 04064 Phone: 207-934-5231 | |
Eugene Mclaughlin Iii, LADC, CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 28 Portland Ave, Old Orchard Beach, ME 04064 Phone: 207-934-5231 |