Organization
SAFE SURROUNDINGS NE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FERNALD MLADC, LICSW (OWNER)
(603) 569-5818
Entity
Organization
Contact information
Practice address
35 CENTER ST, SUITE 19, WOLFEBORO, NH 03894-4324
(603) 569-5818
Mailing address
PO BOX 1464, WOLFEBORO, NH 03894-1464
(603) 569-5818
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0816
NH
1041C0700X
Clinical Social Worker
1529
NH
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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