Individual
KRISTI L SOUTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
428 AMHERST ST, MANCHESTER, NH 03104-5271
(603) 722-3883
Mailing address
428 AMHERST ST, MANCHESTER, NH 03104-5271
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0323
NH
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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