Individual
KEVIN LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A
Contact information
Practice address
20 MARKET ST, MANCHESTER, NH 03101-1957
(603) 622-4747
Mailing address
20 MARKET ST, MANCHESTER, NH 03101-1957
(603) 622-4747
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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