Individual
MR. JAMES STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 W MAIN ST, CONWAY, NH 03818-6142
(603) 447-2111
Mailing address
87 WASHINGTON ST, CONWAY, NH 03818-6044
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1176
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
1014
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81263824
—
NH
Enumeration date
03/11/2013
Last updated
05/12/2021
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