Individual
NICOLE DALE- HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MLADC, LICSW
Contact information
Practice address
323 GONIC RD STE 2A, ROCHESTER, NH 03839-5689
(603) 332-8000
(603) 601-4476
Mailing address
323 GONIC RD STE 2A, ROCHESTER, NH 03839-5689
(603) 332-8000
(603) 601-4476
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0566
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3121377
—
NH
Enumeration date
02/21/2018
Last updated
04/30/2021
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