Individual
MELANIE OTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LADC
Contact information
Practice address
250 PLEASANT ST, CONCORD, NH 03301-7539
(603) 228-7200
Mailing address
PO BOX 2032, CONCORD, NH 03302-2032
(603) 228-1551
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
296
NH
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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