Organization
JUDITH R. DUCLAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH RANDY DUCLAIR LCMHC (CLINICIAN)
(603) 785-4420
Entity
Organization
Contact information
Practice address
1 MAIN STREET, NASHUA, NH 03064-6652
(603) 883-0005
Mailing address
1 MAIN STREET, NASHUA, NH 03064-6652
(603) 883-0005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0940
NH
101YM0800X
Mental Health Counselor
Primary
1123
NH
Other
Enumeration date
12/16/2015
Last updated
06/14/2016
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