NPI 1740430610 · live from the CMS NPI Registry
Susan J Bailey, LADC I
Counselor, Addiction (Substance Use Disorder) in North Conway, NH. National Provider Identifier 1740430610, active.
NPI record
| NPI | 1740430610 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Addiction (Substance Use Disorder) 101YA0400X |
| Practice location | Grove Street, 15 Grove Street, North Conway, NH 03860 |
| Practice phone | 603-869-2210 |
| Mailing address | Po Box 717, Bethlehem, NH 03574 |
| Enumerated | September 26, 2008 |
| Last updated | March 17, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 809 (MA) |
| Counselor, Addiction (Substance Use Disorder) primary | 101YA0400X | 0570 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.