Organization
THE YOUTH&CHILD CENTER FOR WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTIN HONSBERGER LCSW (CLINICAL DIRECTOR)
(603) 356-4114
Entity
Organization
Contact information
Practice address
170 KEARSARGE RD, NORTH CONWAY, NH 03860-5331
(603) 356-4114
Mailing address
PO BOX 503, NORTH CONWAY, NH 03860-0503
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1520
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30428259
—
NH
Enumeration date
06/16/2011
Last updated
06/16/2011
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