John R Colby, MSW LADC Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Derry, NH

NPI

1639123011

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

LADC380 (NH)

Sex

Male

Sole proprietor

No

Enumerated

2006-05-20

Last updated

2007-07-08