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Individual

TINA PILLSBURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MLADC

Contact information

Practice address
20 MARKET ST, MANCHESTER, NH 03101-1957
(603) 622-4747
Mailing address
20 MARKET ST, MANCHESTER, NH 03101-1957
(603) 622-4747

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0537
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023175072
NH
Enumeration date
10/14/2019
Last updated
10/14/2019
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