Individual
BRANDEE PREVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MLADC
Contact information
Practice address
467 LAFAYETTE RD, HAMPTON, NH 03842-2272
(978) 384-0167
Mailing address
PO BOX 412503, BOSTON, MA 02241-2503
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1138
NH
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
05/22/2023
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