| Tattooed Therapist | |
|
1361 Lost Nation Rd Northumberland NH 03582-4516 | |
| (910) 379-3412 | |
| Not Available |
| Full Name | Tattooed Therapist |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1361 Lost Nation Rd, Northumberland, New Hampshire |
| Authorized Official Name and Position | Stephanie Moore Anderton (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9103793412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tattooed Therapist 1361 Lost Nation Rd Northumberland NH 03582-4516 Ph: (910) 379-3412 | Tattooed Therapist 1361 Lost Nation Rd Northumberland NH 03582-4516 Ph: (910) 379-3412 |
| NPI Number | 1598572869 |
|---|---|
| Provider Enumeration Date | 12/11/2024 |
| Last Update Date | 12/11/2024 |
| Certification Date | 12/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598572869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |