Individual
MS. ELAINE CAROL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC/LADC
Contact information
Practice address
36 EXCHANGE ST, GORHAM, NH 03581-1604
(603) 723-9293
Mailing address
65 GRUMPY OLD MEN RD, SHELBURNE, NH 03581-3301
(603) 723-9293
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0283
NH
101YM0800X
Mental Health Counselor
682
NH
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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