Individual
REX BUNNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MLADC
Contact information
Practice address
379 PLEASANT VALLEY RD, WOLFEBORO, NH 03894-4437
(603) 387-9693
Mailing address
PO BOX 645, WOLFEBORO FALLS, NH 03896-0645
(603) 387-9693
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0873
NH
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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