Individual
STANFORD SPURLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
514 SOUTH ST STE F, BOW, NH 03304-3419
(978) 218-2053
Mailing address
84 W BROADWAY STE 200, DERRY, NH 03038-2323
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4785
NH
Other
Enumeration date
02/04/2025
Last updated
07/13/2025
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