Individual
MS. DOROTHY JEAN WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LADC
Contact information
Practice address
526 PORTSMOUTH AVE, GREENLAND, NH 03840-2257
(603) 422-8844
Mailing address
526 PORTSMOUTH AVE, GREENLAND, NH 03840-2257
(603) 422-8844
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0594
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0594
LICENSE ALCOGOL AND DRUG COUNSELOR
NH
Enumeration date
07/09/2008
Last updated
07/09/2008
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