Individual
CONSTANCE E FLAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
33 WEST ST, KEENE, NH 03431-3361
(603) 355-0160
(603) 355-0159
Mailing address
33 WEST ST, KEENE, NH 03431-3361
(603) 355-0160
(603) 355-0159
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
352
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
352
BOARD OF LICENSING FOR ALCOHOL AND OTHER DRUG USE PROFESSIONALS
NH
Enumeration date
01/07/2016
Last updated
01/07/2016
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