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Organization

WISTERIA COUNSELING LLC

Active
Other names
Wisteria Counseling LLc
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PATRICIA A HISCOE MLADC (CLINICIAN/OWNER)
(603) 729-7979
Entity
Organization

Contact information

Practice address
322 W MAIN ST # 111, TILTON, NH 03276-5037
(037) 297-9796
Mailing address
322 W MAIN ST, TILTON, NH 03276-5037
(603) 729-7979

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1021
NH

Other

Enumeration date
07/17/2018
Last updated
07/17/2018
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