Individual
DAVE WORTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC, PH.D.
Contact information
Practice address
540 CHESTNUT ST, SUITE 102, MANCHESTER, NH 03101-1447
(603) 668-7744
(603) 668-2605
Mailing address
540 CHESTNUT ST, SUITE 102, MANCHESTER, NH 03101-1447
(603) 668-7744
(603) 668-2605
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
332
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30424909
—
NH
Enumeration date
04/17/2007
Last updated
07/08/2007
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