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80 Highland St Laconia NH 03246-3235 | |
| (603) 524-3211 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 80 Highland St, Laconia, New Hampshire |
| Authorized Official Name and Position | Scott Sloane (CFO) |
| Authorized Official Contact | 6032277000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 678 Laconia NH 03247-0678 Ph: (603) 524-3211 | 80 Highland St Laconia NH 03246-3235 Ph: (603) 524-3211 |
| NPI Number | 1952989931 |
|---|---|
| Provider Enumeration Date | 03/31/2021 |
| Last Update Date | 04/14/2021 |
| Certification Date | 04/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952989931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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