| Self-empowerment-nh Llc | |
|
85 Warren St Concord NH 03301-3837 | |
| (603) 470-6937 | |
| (603) 856-8240 |
| Full Name | Self-empowerment-nh Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 85 Warren St, Concord, New Hampshire |
| Authorized Official Name and Position | Lori Lee Magoon (SUBSTANCE ABUSE COUNSELOR) |
| Authorized Official Contact | 6034706937 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Self-empowerment-nh Llc 85 Warren St Concord NH 03301-3837 Ph: (603) 470-6937 | Self-empowerment-nh Llc 85 Warren St Concord NH 03301-3837 Ph: (603) 470-6937 |
| NPI Number | 1952703647 |
|---|---|
| Provider Enumeration Date | 09/24/2014 |
| Last Update Date | 09/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952703647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0683 (New Hampshire) | Primary |
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