Individual
MOLLY ANN VAILLINCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, MLADC
Contact information
Practice address
1 WASHINGTON ST, DOVER, NH 03820-3848
(603) 945-8390
Mailing address
2 BURNHAM AVE, DURHAM, NH 03824-3011
(603) 892-2699
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1064
NH
101YM0800X
Mental Health Counselor
Primary
2237
NH
1041C0700X
Clinical Social Worker
2237
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3097970
—
NH
Enumeration date
03/26/2019
Last updated
03/13/2021
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