Individual
PETER NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
367 SHAKER RD, CANTERBURY, NH 03224-2714
(774) 893-3253
Mailing address
21B NORMAN DR, DERRY, NH 03038-7241
(774) 893-3253
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1200
NH
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/02/2015
Last updated
02/18/2022
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