Individual
KELLY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
293 WILSON ST FL 3, MANCHESTER, NH 03103-5021
(603) 660-0245
Mailing address
293 WILSON ST FL 3, MANCHESTER, NH 03103-5021
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1033
NH
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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