Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | 847 | MA |
N | 101YP1600X | Pastoral Counselor | 38 | NH |
NPI | 1174674345 |
---|---|
Provider Name | Dayl Hufford |
First Address | Salem, NH 03079-3173 |
Second Address | Salem, NH 03079-3173 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30422510 | (05) | NH |
650085YONH01 | BLUE CROSS BLUE SHIELD (01) | NH |
7001000L052 | BLUE CROSS BLUE SHIELD (01) | MA |