Organization
SEAPORT SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANN CARMER (ADMINISTRATIVE ASSISTANT)
(603) 988-1015
Entity
Organization
Contact information
Practice address
212 ISLINGTON ST, PORTSMOUTH, NH 03801-4204
(603) 387-2256
Mailing address
212 ISLINGTON ST, PORTSMOUTH, NH 03801-4204
(603) 387-2256
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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