Individual
NICOLE FORDEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 WALL ST STE 300, MANCHESTER, NH 03101
(603) 668-4111
(603) 628-7757
Mailing address
2 WALL ST STE 300, MANCHESTER, NH 03101-1518
(603) 668-4111
(603) 628-7757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1047
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
2139
NH
1041C0700X
Clinical Social Worker
219912
MA
Other
Enumeration date
07/28/2015
Last updated
01/14/2019
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