Individual
ROXANNE DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3 12TH ST, BERLIN, NH 03570-3860
(603) 752-7404
(603) 752-5194
Mailing address
87 WASHINGTON ST, CONWAY, NH 03818-6044
(603) 447-3347
(603) 447-8893
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
245
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
245
LICENSED M.H. COUNSELOR
NH
Enumeration date
04/02/2007
Last updated
07/08/2007
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