Individual
MS. DIANE LOUISE VACCARELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LMFT
Contact information
Practice address
264 S RIVER RD, BEDFORD, NH 03110-6824
(603) 218-6073
Mailing address
264 S RIVER RD, BEDFORD, NH 03110-6824
(603) 218-6073
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
70
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14Y007704NH01
BEHAVIORAL HEALTH NETWORK
NH
05
—
30423084
—
NH
Enumeration date
06/07/2007
Last updated
07/09/2007
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