Individual
MS. ELIZABETH ERIN VICENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW MLADC
Contact information
Practice address
753 CHESTNUT ST, MANCHESTER, NH 03104-3011
(603) 836-5004
Mailing address
12 GREYSTONE TER, HOOKSETT, NH 03106-2186
(603) 731-3173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81263595
—
NH
Enumeration date
08/15/2007
Last updated
07/02/2024
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