| Kyla Provazza, BS | |
|
200 Route 108 # 108, Somersworth, NH 03878-1119 | |
| (603) 953-0077 | |
| Not Available |
| Full Name | Kyla Provazza |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 200 Route 108 # 108, Somersworth, New Hampshire |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457139222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kyla Provazza, BS 2 Regent Dr Unit 222, Dover, NH 03820-3070 Ph: (603) 828-6640 | Kyla Provazza, BS 200 Route 108 # 108, Somersworth, NH 03878-1119 Ph: (603) 953-0077 |
Philip Gleason, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Route 108, Somersworth, NH 03878 Phone: 603-953-0077 | |
Mckenzie Tessier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Route 108, Somersworth, NH 03878 Phone: 603-953-0077 Fax: 603-953-0078 | |
Christopher Paul Trask, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 Route 108, Somersworth, NH 03878 Phone: 603-749-2346 Fax: 603-953-0066 | |
Kristine Bowers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Route 108, Somersworth, NH 03878 Phone: 603-953-0077 | |
Patricia Berchiolli, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Route 108, Somersworth, NH 03878 Phone: 603-953-0078 | |
Ms. Elaine M Benson, LCMHC LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 Route 108, Suite 204, Somersworth, NH 03878 Phone: 603-742-9200 Fax: 603-742-4605 | |
Ms. Emily Mae Gagnon, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Route 108, Somersworth, NH 03878 Phone: 603-953-0077 Fax: 603-953-0078 |