Individual
FAITHANNE BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 ROGERS ST UNIT 1, MANCHESTER, NH 03103-5070
(603) 545-7889
Mailing address
60 ROGERS ST UNIT 204, MANCHESTER, NH 03103-5098
(603) 545-7889
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0130
NH
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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