| Sakura Counseling Pllc | |
|
1620 E Main St Center Conway NH 03813-4117 | |
| (207) 890-4423 | |
| Not Available |
| Full Name | Sakura Counseling Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1620 E Main St, Center Conway, New Hampshire |
| Authorized Official Name and Position | James Stoddard (OWNER) |
| Authorized Official Contact | 2078904423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sakura Counseling Pllc 1620 E Main St Center Conway NH 03813-4117 Ph: (207) 890-4423 | Sakura Counseling Pllc 1620 E Main St Center Conway NH 03813-4117 Ph: (207) 890-4423 |
| NPI Number | 1952908642 |
|---|---|
| Provider Enumeration Date | 10/06/2020 |
| Last Update Date | 05/12/2021 |
| Certification Date | 05/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952908642 | NPI | - | NPPES |
| 3124451 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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