Individual
SUE ANN VANDEN BOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
106 ROXBURY ST, KEENE, NH 03431-3816
(603) 358-4041
(603) 358-6527
Mailing address
1145 SAGAMORE AVE, PORTSMOUTH, NH 03801-5503
(603) 431-6703
(603) 430-3753
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
752
NH
101YM0800X
Mental Health Counselor
Primary
752
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3078870
—
NH
Enumeration date
09/15/2010
Last updated
03/17/2018
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