Individual
KIMBERLY ANN FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRSW
Contact information
Practice address
1 ELLIOT WAY, MANCHESTER, NH 03103-3599
(603) 663-4430
Mailing address
1 ELLIOT WAY, MANCHESTER, NH 03103-3599
(603) 663-4430
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0327
NH
Other
Enumeration date
08/22/2024
Last updated
01/07/2025
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