Organization
JEMB, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ELDREDGE LICSW, MLADC (MEMBER)
(603) 200-3035
Entity
Organization
Contact information
Practice address
2 WASHINGTON ST STE 216, DOVER, NH 03820-3893
(603) 200-3035
Mailing address
2 WASHINGTON ST STE 216, DOVER, NH 03820-3893
(603) 200-3035
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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