Individual
MR. RICK M AXTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LCMHC
Contact information
Practice address
4 BICENTENNIAL SQUARE, BSCA 2ND FLOOR, CONCORD, NH 03301
(603) 226-1976
(603) 226-1979
Mailing address
4 BICENTENNIAL SQUARE, BSCA 2ND FLOOR, CONCORD, NH 03301
(603) 226-1979
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
169
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30422449
—
NH
Enumeration date
03/15/2006
Last updated
07/08/2007
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