Organization
MELYSSA MANOCK, MSW, MLADC, LLC
Active
Other names
Innate Therapeutic Services
Organization subpart
No
Provider details
NPI number
Authorized official
MELYSSA MANOCK MLADC (OWNER)
(603) 724-0038
Entity
Organization
Contact information
Practice address
67 INDUSTRIAL PARK DR, FRANKLIN, NH 03235-2507
(603) 671-7045
(603) 556-8546
Mailing address
67 INDUSTRIAL PARK DR, FRANKLIN, NH 03235-2507
(603) 671-7045
(603) 556-8546
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174083455
—
NH
Enumeration date
12/10/2019
Last updated
01/13/2022
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