Individual
MR. ALLEN TATE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA LADC
Contact information
Practice address
97 N MAIN ST, ROCHESTER, NH 03867-1924
(603) 380-1312
Mailing address
97 N MAIN ST, ROCHESTER, NH 03867-1924
(603) 380-1312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0682
NH
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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