Most Relevant Information
Provider Data
NPI Number: | 1003538968 |
Provider Name: | MELISSA LEARY ADCA |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: | AD7869 |
Most Important Dates
Enumeration Date: | 09/16/2022 |
Last Updated: | 09/16/2022 |
Provider Practice Location
689 ODLIN RD
BANGOR
ME
044016709
Practice Location Phone/Fax
Phone: | 2079476800 |
Fax: |
Provider Mailing Location
689 ODLIN RD
BANGOR
ME
044016709
Provider Mailing Phone/Fax
Phone: | 2079476800 |
Fax: |