Individual
MR. PAUL EDWARD SPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASTERS DEGREE
Contact information
Practice address
102 DURHAM RD, DOVER, NH 03820
(603) 742-3222
(603) 742-1799
Mailing address
102 DURHAM RD, DOVER, NH 03820
(603) 742-3222
(603) 742-1799
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0022
NH
101YM0800X
Mental Health Counselor
49
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30421295
—
NH
Enumeration date
01/03/2007
Last updated
09/11/2025
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