Individual
MS. MARY KATHLEEN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
393 MAIN ST, DANVILLE, NH 03819-3219
(603) 560-2854
Mailing address
PO BOX 431, EAST HAMPSTEAD, NH 03826-0431
(503) 560-2854
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NH0125
NH
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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