Individual
LORI DRAHOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1145 SAGAMORE AVE, PORTSMOUTH, NH 03801-5503
(603) 431-6703
Mailing address
1145 SAGAMORE AVE, PORTSMOUTH, NH 03801-5503
(603) 431-6703
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7706655Y0NH01
BHN #
NH
05
—
99003227
—
NH
01
—
NH3227
MEDICARE
NH
Enumeration date
12/12/2007
Last updated
12/12/2007
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