Individual
MS. MARY ELIZABETH KOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MED LADC
Contact information
Practice address
2013 ELM ST, PASTORAL COUNSELING SERVICES, MANCHESTER, NH 03104
(603) 627-2702
(603) 627-3643
Mailing address
62 WOODBURY RD, NEW BOSTON, NH 03070
(603) 487-2732
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
035
NH
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
01976321
NH
Other
Enumeration date
10/12/2006
Last updated
09/11/2025
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