Individual
THOMAS MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
105 LOUDON RD, BUILDING 3, CONCORD, NH 03301-5601
(603) 228-0547
Mailing address
PO BOX 2032, CONCORD, NH 03302-2032
(603) 228-0547
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
723
NH
Other
Enumeration date
04/03/2007
Last updated
10/31/2008
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