Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CARROLL L ACKLEY, LADC, CCS
Active Sole ProprietorMethadone Clinic · BANGOR, ME
Registration Details
- NPI Number
- 1952709529
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 15, 2014 (11.348274367157 yrs)
- Last Updated
- Dec 15, 2014
- License
-
LC1222 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
74 DOWD RDBANGOR, ME, 044016700Browse ME providers · Browse ZIP 04401
- Phone
- 2079476800
- Fax
- 2079476872
- Primary Specialty
-
Methadone Clinic
261QM2800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.