Organization
WHITE BIRCH RECOVERY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ELDREDGE MSW, MLADC (OWNER)
(603) 235-1489
Entity
Organization
Contact information
Practice address
2 WASHINGTON ST, SUITE 216, DOVER, NH 03820-3890
(603) 235-1489
(603) 200-3035
Mailing address
2 WASHINGTON ST, SUITE 216, DOVER, NH 03820-3890
(603) 235-1489
(603) 200-3035
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0981
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3103880
—
NH
Enumeration date
05/12/2017
Last updated
05/12/2017
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