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Individual

MRS. KENDRA ALICE YAKOVLEFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ADDICTION COUSELOR

Contact information

Practice address
254 PLAINFIELD RD, WEST LEBANON, NH 03784-2001
(603) 298-2146
Mailing address
28 ELM ST, CHARLESTOWN, NH 03603-5006
(603) 826-3704

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101YA0400X
NH
Enumeration date
08/04/2013
Last updated
08/04/2013
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