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Individual

RANDAL F JACUNSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MHS,LADC

Contact information

Practice address
250 PLEASANT ST, CONCORD, NH 03301-7539
(603) 225-2711
(603) 227-7169
Mailing address
250 PLEASANT ST, CONCORD, NH 03301-7539
(603) 225-2711
(603) 227-7169

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0598
NH

Other

Enumeration date
05/15/2007
Last updated
10/05/2010
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