Organization
MOOSILAUKE VISIONS, INC.
Active
Other names
Moosilauke Counseling Solultions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY WOLTER (CEO)
(603) 359-9044
Entity
Organization
Contact information
Practice address
23 S MAIN ST STE 2A, HANOVER, NH 03755-2075
(603) 691-3435
Mailing address
633 NH ROUTE 10, PO BOX 325, ORFORD, NH 03777
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/29/2012
Last updated
11/15/2024
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