Individual
MELYSSA LEE MANOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MLADC
Contact information
Practice address
67 INDUSTRIAL PARK DR, FRANKLIN, NH 03235-2507
(603) 671-7045
(603) 556-8456
Mailing address
67 INDUSTRIAL PARK DR, FRANKLIN, NH 03235-2507
(603) 671-7045
(603) 556-8546
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1206
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598302523
—
NH
Enumeration date
03/22/2019
Last updated
01/13/2022
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