Organization
BRAVE SOBRIETY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE R SEELY LICSW MLADC (OWNER OPERATOR)
(603) 581-8090
Entity
Organization
Contact information
Practice address
23 PLUMMER ST, MANCHESTER, NH 03102-1237
(160) 358-1809
Mailing address
23 PLUMMER ST, MANCHESTER, NH 03102-1237
(603) 581-8090
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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