Individual
DAN D LAVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, LADC
Contact information
Practice address
3957 MAIN ST, BETHLEHEM, NH 03574
(603) 869-2210
Mailing address
69 MOAT VIEW RD, NORTH CONWAY, NH 03860-5605
(603) 730-7041
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0984
NH
Other
Enumeration date
05/31/2016
Last updated
01/11/2017
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