Organization
SELF-EMPOWERMENT-NH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI LEE MAGOON MLADC (SUBSTANCE ABUSE COUNSELOR)
(603) 470-6937
Entity
Organization
Contact information
Practice address
85 WARREN ST, CONCORD, NH 03301-3837
(603) 470-6937
(603) 856-8240
Mailing address
85 WARREN ST, CONCORD, NH 03301-3837
(603) 470-6937
(603) 856-8240
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0683
NH
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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