Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 0652 | NH |
NPI | 1003066465 |
---|---|
Provider Name | Mrs. Julia Elizabeth Gamache |
First Address | Hooksett, NH 03106-1091 |
Second Address | Hooksett, NH 03106-1091 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2008 |
Last Update Date | 10/12/2020 |