Karen J McNamara, LADC, SAP, IDSP

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Lincoln, NH

NPI 1275917353 · NPPES record last updated Mar 29, 2018

Key facts

NPI
1275917353
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
0390 (NH)
Practice address
264 Main Street
Bridge Project
Lincoln, NH 03251
Phone
(603) 540-4644
Fax
(603) 292-0131
NPI assigned
Jul 17, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0390NHMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0390 NH Yes

Addresses

Primary practice location

264 Main Street
Bridge Project
Lincoln, NH 03251

Mailing address

PO Box 1268
Lincoln, NH 03251-1268
Phone (603) 540-4644

Other identifiers

IdentifierTypeStateIssuer
3111116MedicaidNH
14089263OtherNHCAQH

Other providers in Lincoln, NH

All providers in Lincoln, NH · Addiction (Substance Use Disorder) Counselor in New Hampshire

Sources for this page

Verify at the official NPI Registry.