Individual
KATHLEEN ANN KILLEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, MLADC, CAADC
Contact information
Practice address
173 MIDDLE ST, LANCASTER, NH 03584-3508
(603) 788-4911
Mailing address
173 MIDDLE ST, LANCASTER, NH 03584-3508
(603) 788-4911
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1201
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
1510134098
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
1637
DE
101YA0400X
Addiction (Substance Use Disorder) Counselor
9733
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC7484
ME
104100000X
Social Worker
17282
MD
104100000X
Social Worker
44SL05713500
NJ
104100000X
Social Worker
SW123039
PA
1041C0700X
Clinical Social Worker
0890134255
VT
1041C0700X
Clinical Social Worker
Primary
2248
NH
1041C0700X
Clinical Social Worker
LC18875
ME
1041C0700X
Clinical Social Worker
Q1-0001255
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3119205
—
NH
05
—
6701953
—
VT
Enumeration date
10/20/2016
Last updated
02/08/2024
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