Individual
AMANDA NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1145 SAGAMORE AVE, PORTSMOUTH, NH 03801-5503
(603) 431-6703
Mailing address
1145 SAGAMORE AVE, PORTSMOUTH, NH 03801-5503
(603) 431-6703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7706655Y0NH01
BHN
NH
05
—
99003227
—
NH
Enumeration date
03/27/2008
Last updated
03/27/2008
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