| Wisteria Counseling Llc | |
|
322 W Main St # 111 Tilton NH 03276-5037 | |
| (037) 297-9796 | |
| Not Available |
| Full Name | Wisteria Counseling Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 322 W Main St # 111, Tilton, New Hampshire |
| Authorized Official Name and Position | Patricia A Hiscoe (CLINICIAN/OWNER) |
| Authorized Official Contact | 6037297979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisteria Counseling Llc 322 W Main St Tilton NH 03276-5037 Ph: (603) 729-7979 | Wisteria Counseling Llc 322 W Main St # 111 Tilton NH 03276-5037 Ph: (037) 297-9796 |
| NPI Number | 1912483561 |
|---|---|
| Provider Enumeration Date | 07/17/2018 |
| Last Update Date | 07/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912483561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1021 (New Hampshire) | Primary |
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