Individual
KEITH SABELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1145 SAGAMORE AVE, PORTSMOUTH, NH 03801
(603) 431-6703
Mailing address
1145 SAGAMORE AVE, PORTSMOUTH, NH 03801-5585
(603) 431-6703
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3078870
—
NH
Enumeration date
08/22/2016
Last updated
01/15/2019
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