Individual
KIMBERLY HANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 FERRY ST STE 319, CONCORD, NH 03301-5081
(603) 931-3700
Mailing address
10 FERRY ST STE 319, CONCORD, NH 03301-5081
(603) 931-3700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0065
NH
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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