Individual
MELISSA ANN KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRSW
Contact information
Practice address
60 ROGERS ST UNIT 204, MANCHESTER, NH 03103-5070
(603) 724-4859
Mailing address
60 ROGERS ST UNIT 204, MANCHESTER, NH 03103-5070
(603) 724-4859
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0211
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0211
—
NH
Enumeration date
08/09/2019
Last updated
08/09/2019
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