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Organization
SHORELINE COUNSELING GROUP LLC
Active
Organization
SHORELINE COUNSELING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY MARY NELSON WALSH LICSW (CLINICAL DIRECTOR)
(603) 836-0383
Entity
Organization
Contact information
Practice address
140 WASHINGTON ST, DOVER, NH 03820-3721
(603) 836-0393
Mailing address
PO BOX 1604, DOVER, NH 03821-1604
(603) 836-0393
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669753554
NPI
NH
01
—
853439574
NPI
NH
Enumeration date
12/09/2022
Last updated
01/17/2025
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