Johnston, Kelley A

Johnston, Kelley A is an individual health care provider with primary practice located at 147 Academy St , Presque Isle ME 04769-3101. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Johnston, Kelley A can be contacted via phone (207) 764-6825.

Contact Information

Primary practice address
147 Academy St Presque Isle ME 04769-3101
Phone: (207) 764-6825
Fax: (207) 764-6077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAC3787 Maine
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Maine
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC4577 Maine

Profile Details

NPI number 1740476159
LBN Legal business name Johnston, Kelley A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2007
Last updated Oct 7th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740476159 NPPES
Maine MEDICAID 1740476159

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