Individual
MR. MARK J HORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC, LCPC
Contact information
Practice address
81 WASHINGTON ST, CONWAY, NH 03818-6044
(603) 447-2453
(603) 447-2450
Mailing address
PO BOX 2726, 81 WASHINGTON ST., CONWAY, NH 03818-2726
(603) 447-2453
(603) 447-2450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
315
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30424635
—
NH
Enumeration date
12/15/2006
Last updated
07/08/2007
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