David Belanger, MLADC

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

NPI 1528452018 · NPPES record last updated Jun 16, 2022

Key facts

NPI
1528452018
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
0948 (NH)
Practice address
14 Church St
Lebanon, NH 03766-1642
Phone
(603) 448-4872
Fax
(603) 448-1829
NPI assigned
Mar 24, 2015
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
0948NHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Headrest Addiction (Substance Use Disorder) Past Accepting new patients
Headrest Addiction (Substance Use Disorder) Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0948 NH Yes

Addresses

Primary practice location

14 Church St
Lebanon, NH 03766-1642

Mailing address

14 Church St
Lebanon, NH 03766-1642
Phone (603) 448-4872

Other providers in Lebanon, NH

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

Sources for this page

Verify at the official NPI Registry.