Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003060500 |
---|---|
Provider Name | Ms. Tiffani Ann Arsenault |
First Address | Laconia, NH 03246-3432 |
Second Address | Laconia, NH 03246-3432 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2008 |
Last Update Date | 11/11/2008 |