Individual
MR. JOHN M IUDICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW, MLADC
Contact information
Practice address
85 SIMS AVE, PORTSMOUTH, NH 03801-4841
(603) 591-3707
(603) 431-7102
Mailing address
85 SIMS AVE, PORTSMOUTH, NH 03801-4841
(603) 591-3707
(603) 431-7102
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0593
NH
1041C0700X
Clinical Social Worker
Primary
1637
NH
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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