Individual
DONNA BREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
90 AIRPORT RD, CONCORD, NH 03301-5326
(603) 998-4210
(603) 532-0720
Mailing address
90 AIRPORT RD, CONCORD, NH 03301-5326
(603) 998-4210
(603) 532-0720
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0892
NH
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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