NPI 1013205053

Nicholas Jon Pelkey, LADC

Practitioner Addiction (Substance Use Disorder) Counselor Bangor, ME

Practice location

Address: 96 Harlow St Suite 360, Bangor, ME 04401-4925
Phone: (207) 945-9777
Fax: (207) 945-9780

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence LC5699 (ME)

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Registry record

NPI: 1013205053
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2011
Record last updated: 28 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.