Donna N Kelly, LCPC-C
Individual provider Active NPI Professional Counselor · Bucksport, ME
NPI 1376858142 · NPPES record last updated Jan 21, 2014
Key facts
- NPI
- 1376858142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- CC4132 (ME)
- Practice address
- 23 Mechanic St
Bucksport, ME 04416-4088 - Phone
- (207) 631-0081
- NPI assigned
- Aug 17, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC4132 | ME | MD | Professional Counselor |
| XL3681 | ME | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | XL3681 | ME | |
| Professional Counselor | 101YP2500X | CC4132 | ME | Yes |
Addresses
Primary practice location
23 Mechanic St
Bucksport, ME 04416-4088
Mailing address
PO Box 213
23 Mechanic Street
Bucksport, ME 04416-0213
Phone (207) 631-0081
Other providers in Bucksport, ME
- Heather Harriman
- Kenneth A Harvey Jr.
- Highland Sanctuary & Retreat
- Kim L Hopkins
- Hutchins Physical Therapy, LLC
- Donna L Kennedy
- Virginia Ruth Lanning
- Anna Levesque
- Beth Ann Lieberman
- Megan Light
All providers in Bucksport, ME · Professional Counselor in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.