Individual
PETER LO IACONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LADC
Contact information
Practice address
800 PARK AVE., KEENE, NH 03431
(603) 499-1775
Mailing address
PO BOX 921, GREENFIELD, MA 01302
(802) 257-7785
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000151
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0588
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000151
VERMONT ALCOHOL AND DRUG COUNSELOR CERTIFICATION BOARD
VT
01
—
0588
NEW HAMPSHIRE BOARD OF ALCOHOL &OTHER DRUG ABUSE PROFESSIONAL PRACTICE
NH
01
—
2221
MASSACHUSETTS BUREAU OF SUBSTANCE ABUSE SERVICES
MA
05
—
3104370
—
NH
Enumeration date
09/06/2006
Last updated
08/22/2025
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