| B And G Common Actions For Change | |
|
86 A St Apt 1 Manchester NH 03102-4714 | |
| (603) 262-0345 | |
| Not Available |
| Full Name | B And G Common Actions For Change |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 86 A St Apt 1, Manchester, New Hampshire |
| Authorized Official Name and Position | Bienfait Polepole (BUSINESS MANAGER) |
| Authorized Official Contact | 6035121942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| B And G Common Actions For Change 89 Summerside Ave Manchester NH 03102-4929 Ph: (603) 512-1942 | B And G Common Actions For Change 86 A St Apt 1 Manchester NH 03102-4714 Ph: (603) 262-0345 |
| NPI Number | 1740061340 |
|---|---|
| Provider Enumeration Date | 10/10/2023 |
| Last Update Date | 10/10/2023 |
| Certification Date | 10/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740061340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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