Individual
GREGORY PANTAZIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
10 TSIENNETO RD, DERRY, NH 03038-1505
(603) 434-1577
(603) 434-3101
Mailing address
10 TSIENNETO RD, DERRY, NH 03038-1505
(603) 434-1577
(603) 434-3101
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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