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Individual

PHOEBE E AXTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW, MLADC

Contact information

Practice address
22 BRIDGE STREET, 3RD FLOOR, SUITE B4, CONCORD, NH 03301-4987
(603) 441-0600
Mailing address
22 BRIDGE ST STE 19, CONCORD, NH 03301-4987

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1206
NH
101YM0800X
Mental Health Counselor
2835
NH
1041C0700X
Clinical Social Worker
2835
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3134057
NH
Enumeration date
01/11/2017
Last updated
04/23/2025
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