Individual
SHAWNA OTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCMHC
Contact information
Practice address
25 SUNDIAL AVE STE 310W, MANCHESTER, NH 03103-7244
(603) 634-9471
(603) 676-2173
Mailing address
25 SUNDIAL AVE STE 310W, MANCHESTER, NH 03103-7244
(603) 634-9471
(603) 676-2173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2469
NH
Other
Enumeration date
05/03/2023
Last updated
05/16/2024
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