Individual
THERESA GEORGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 LAWRENCE ST, ANDOVER, NH 03216-3614
(802) 922-7513
Mailing address
31 LAWRENCE ST, ANDOVER, NH 03216-3614
(802) 922-7513
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0141
NH
101YS0200X
School Counselor
96613
NH
1041S0200X
School Social Worker
112
NH
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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