Individual
AMY LEE FREDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRSW, LDAC
Contact information
Practice address
700 LAKE AVE, MANCHESTER, NH 03103-2734
(603) 623-6324
(603) 621-4293
Mailing address
22 THORNTON RD W, MERRIMACK, NH 03054-4714
(603) 820-2600
(603) 621-4293
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0205
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1522
NH
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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