Individual
MR. CHARLES NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MLADC
Contact information
Practice address
45 CANTON ST, 3 F, MANCHESTER, NH 03103-3563
(603) 670-5557
Mailing address
45 CANTON ST, 3 F, MANCHESTER, NH 03103-3563
(603) 670-5557
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0954
NH
101YM0800X
Mental Health Counselor
0954
NH
101YP2500X
Professional Counselor
0954
NH
Other
Enumeration date
07/14/2015
Last updated
07/30/2021
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