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Individual

JUDY FOURNIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
90 AIRPORT RD STE 19, CONCORD, NH 03301-5326
(603) 998-4210
Mailing address
90 AIRPORT RD STE 19, CONCORD, NH 03301-5326
(603) 998-4210

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0980
NH
101YM0800X
Mental Health Counselor
0980
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0980
BOARD OF LICENSING FOR ALCOHOL AND OTHER DRUG PROFESSIONALS STATE OF NH
NH
05
3098259
NH
Enumeration date
08/12/2016
Last updated
08/12/2016
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