Individual
SETH ADAM WIZWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
65 MIDDLE ST, MANCHESTER, NH 03101-1905
(603) 767-1290
Mailing address
38 GONET DR, NEWMARKET, NH 03857-1746
(603) 767-1290
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
642
NH
101YM0800X
Mental Health Counselor
CC2999
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
642
LCMHC LICENSE NUMBER
NH
01
—
CC2999
MAINE LICENSE NUMBER
ME
Enumeration date
11/13/2006
Last updated
01/23/2017
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