Organization
NORTHSTAR WELLNESS ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD NASSTROM DO (OWNER)
(802) 449-6147
Entity
Organization
Contact information
Practice address
171 DANIEL WEBSTER HWY UNIT 11, BELMONT, NH 03220-3053
(802) 449-6147
Mailing address
PO BOX 1598, CAMPTON, NH 03223-1598
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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