Organization
WILLOWDALE COUNSELING CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY C. BRAY PH.D. (OWNER)
(603) 881-7554
Entity
Organization
Contact information
Practice address
76 NORTHEASTERN BLVD STE 36A, NASHUA, NH 03062-3196
(603) 881-7554
(603) 881-7533
Mailing address
76 NORTHEASTERN BLVD STE 36A, NASHUA, NH 03062-3196
(603) 881-7554
(603) 881-7533
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
941
NH
Other
Enumeration date
09/29/2006
Last updated
09/01/2021
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