Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 0672 | NH |
NPI | 1003039934 |
---|---|
Provider Name | Patricia M Barrett |
First Address | Concord, NH 03302-2032 |
Second Address | Concord, NH 03301-4006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 04/01/2018 |