Individual
MR. BENJAMIN FULMER GOLDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
8 GREENLEAF WOODS DR, PORTSMOUTH, NH 03801-5436
(603) 422-8208
(603) 422-8218
Mailing address
311 ROUTE 108, SOMERSWORTH, NH 03878-1522
(603) 953-0065
(603) 953-0066
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0583
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
2583
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14208886
CAQH
NH
Enumeration date
06/15/2015
Last updated
07/29/2022
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