Individual
DUSTIN BOUSQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 CHURCH ST, LACONIA, NH 03246-3462
(603) 934-1464
Mailing address
17 CHURCH ST, LACONIA, NH 03246-3462
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5620
NH
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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