Organization
AMBER ILLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER ILLER LICSW (THERAPIST)
(617) 803-0644
Entity
Organization
Contact information
Practice address
80 NASHUA RD, BUILDING C, LOWER LEVEL, LONDONDERRY, NH 03053
(617) 803-0644
Mailing address
6 COPPERFIELD LN, LONDONDERRY, NH 03053-3265
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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