NPI 1720524929 · live from the CMS NPI Registry
Phoebe E Axtman, LICSW, MLADC
Counselor, Addiction (Substance Use Disorder) in Concord, NH. National Provider Identifier 1720524929, active.
NPI record
| NPI | 1720524929 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Addiction (Substance Use Disorder) 101YA0400X |
| Practice location | 22 Bridge Street, 3rd Floor, Suite B4, Concord, NH 03301 |
| Practice phone | 603-441-0600 |
| Mailing address | 22 Bridge St Ste 19, Concord, NH 03301 |
| Enumerated | January 11, 2017 |
| Last updated | April 23, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | 2835 (NH) |
| Social Worker, Clinical | 1041C0700X | 2835 (NH) |
| Counselor, Addiction (Substance Use Disorder) primary | 101YA0400X | 1206 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.