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Individual

JOHN LETENDRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
63 COMMUNITY WAY, KEENE, NH 03431-3748
(603) 568-3956
Mailing address
87 MAYFLOWER DR, KEENE, NH 03431-2422
(603) 355-4897

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1001
NH

Other

Enumeration date
09/13/2018
Last updated
09/13/2018
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