Individual
MR. CHARLES QUALTERS SEXTON-DIRANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC II
Contact information
Practice address
491 AMHERST ST STE 105, NASHUA, NH 03063-1259
(603) 965-2567
Mailing address
8 SOUTH ST, TOWNSEND, MA 01469-1302
(978) 868-8016
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1101
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
14340
MA
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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