| Melyssa Manock, Msw, Mladc, Llc | |
|
67 Industrial Park Dr Franklin NH 03235-2507 | |
| (603) 671-7045 | |
| (603) 556-8546 |
| Full Name | Melyssa Manock, Msw, Mladc, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 67 Industrial Park Dr, Franklin, New Hampshire |
| Authorized Official Name and Position | Melyssa Manock (OWNER) |
| Authorized Official Contact | 6037240038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melyssa Manock, Msw, Mladc, Llc 67 Industrial Park Dr Franklin NH 03235-2507 Ph: (603) 671-7045 | Melyssa Manock, Msw, Mladc, Llc 67 Industrial Park Dr Franklin NH 03235-2507 Ph: (603) 671-7045 |
| NPI Number | 1598302523 |
|---|---|
| Provider Enumeration Date | 12/10/2019 |
| Last Update Date | 01/13/2022 |
| Certification Date | 01/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598302523 | NPI | - | NPPES |
| 1174083455 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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