Individual
MRS. MARTHA JAYNE HUCKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, MLADC
Contact information
Practice address
103 ROXBURY ST, SUITE 206, KEENE, NH 03431
(603) 903-5643
(603) 338-0332
Mailing address
103 ROXBURY ST, SUITE 206, KEENE, NH 03431
(603) 903-5643
(603) 338-0332
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1978
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0871
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3106784
—
NH
Enumeration date
02/20/2013
Last updated
03/13/2024
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