Individual
AMANDA ELYSE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 PLEASANT ST, CONCORD, NH 03301-4006
(844) 743-5748
Mailing address
40 PLEASANT ST, CONCORD, NH 03301-4006
(844) 743-5748
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0905
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326353921
—
NH
Enumeration date
08/09/2010
Last updated
12/30/2021
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