| Nora Nh 1 Llc | |
|
49 Ferson Rd Hanover NH 03755-3900 | |
| (360) 920-4142 | |
| Not Available |
| Full Name | Nora Nh 1 Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 49 Ferson Rd, Hanover, New Hampshire |
| Authorized Official Name and Position | Brian Bulthuis (OWNER) |
| Authorized Official Contact | 2142054770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nora Nh 1 Llc 49 Ferson Rd Hanover NH 03755-3900 Ph: (360) 920-4142 | Nora Nh 1 Llc 49 Ferson Rd Hanover NH 03755-3900 Ph: (360) 920-4142 |
| NPI Number | 1427897479 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427897479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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