Jack Chellis
CADC
Counselor - Addiction (Substance Use Disorder)
About Jack Chellis
Jack Chellis, CADC, is a male healthcare professional specializing in Counselor - Addiction (Substance Use Disorder) with a focus on Addiction (Substance Use Disorder), registered under National Provider Identifier (NPI) number 1114317179.
Their primary practice is located at 28 PORTLAND AVE, Old Orchard Beach, Maine 04064. Patients can reach the office at (207) 934-5231. Jack Chellis has been NPI-registered since 2015.
Doctor Details
Identity & Credentials
- NPI Number
- 1114317179
- Entity Type
- Individual
- First Name
- Jack
- Last Name
- Chellis
- Credential
- CADC
- Gender
- Male
- Sole Proprietor
- No
- Status
- active
Primary Practice Location
- Address
- 28 PORTLAND AVE
- City
- Old Orchard Beach
- State
- Maine
- ZIP
- 04064-2212
- Country
- United States
- Phone
- (207) 934-5231
- Fax
- (207) 934-5139
Specialty & Taxonomy
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Classification
- Counselor
- Specialization
- Addiction (Substance Use Disorder)
- Taxonomy Code
- 101YA0400X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 28 PORTLAND AVE
- City
- OLD ORCHARD BEACH
- State
- ME
- ZIP
- 040642212
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Jack Chellis's NPI number?
What does Jack Chellis specialize in?
Where is Jack Chellis located?
Does Jack Chellis accept Medicare?
Does Jack Chellis offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Jack Chellis is 1114317179.