Individual
JOSEPH P KILCULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LADC
Contact information
Practice address
370 PORTSMOUTH AVE STE 12, GREENLAND, NH 03840-2252
(603) 498-4135
(603) 772-7534
Mailing address
PO BOX 86, GREENLAND, NH 03840-0086
(603) 498-4135
(603) 772-7534
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
141
NH
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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