Individual
NICOLETTE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 OLD ROLLINSFORD RD STE 302, DOVER, NH 03820-2819
(603) 742-9200
Mailing address
PO BOX 412503, BOSTON, MA 02241-2503
(617) 726-3884
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3133278
—
NH
Enumeration date
08/08/2018
Last updated
04/04/2022
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