Individual
DR. ELISE MAIA BON-RUDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D
Contact information
Practice address
82A PONEMAH RD, AMHERST, NH 03031-3110
(603) 880-7777
(603) 672-0777
Mailing address
82A PONEMAH RD, AMHERST, NH 03031-3110
(603) 672-0777
(603) 880-6777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
446
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30422613
—
NH
Enumeration date
03/10/2007
Last updated
07/11/2019
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