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Organization

ALTA L CHASE

Active
Other names
Stratford Counseling Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALTA L CHASE D MIN (PRESIDENT)
(603) 636-9914
Entity
Organization

Contact information

Practice address
441 BOG ROAD, STRATFORD, NH 03590
(603) 636-9914
Mailing address
441 BOG ROAD, STRATFORD, NH 03590
(603) 636-9914

Taxonomy

Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
61
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30421051
NH
Enumeration date
11/30/2006
Last updated
04/30/2008
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