William Piers Kaniuka, MA, MTS

Individual provider Active NPI Professional Counselor · Effingham, NH

NPI 1437428356 · NPPES record last updated Dec 3, 2019

Key facts

NPI
1437428356
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
XL3899 (ME)
Practice address
244 High Watch Rd
Effingham, NH 03882
Phone
(603) 539-8808
NPI assigned
Dec 21, 2011
Sex
Male
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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CAC5116MEMDAddiction (Substance Use Disorder) Counselor
XL3899MEMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAC5116 ME
Professional Counselor 101YP2500X XL3899 ME Yes

Addresses

Primary practice location

244 High Watch Rd
Effingham, NH 03882

Mailing address

PO Box 983
Brunswick, ME 04011-0983
Phone (207) 208-0995

Other practice location 1

284 Main St Ste 190
Wilton, ME 04294-3044
Phone (206) 645-7010

Other practice location 2

807 Cushing Rd
Warren, ME 04864-4600
Phone (207) 755-1035

Other providers in Effingham, NH

All providers in Effingham, NH · Professional Counselor in New Hampshire

Sources for this page

Verify at the official NPI Registry.