Individual provider · Type 1 NPI

Kelly Marie Reardon, MLADC

Addiction (Substance Use Disorder) Counselor · Manchester, NH

NPI number 1174887145 Active

Practice location

101 Manchester St
Manchester, NH 03101-2205

Call (603) 625-6980 Map

Fax (603) 625-6982

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0684 (NH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174887145

Kelly Marie Reardon, MLADC's National Provider Identifier is 1174887145, issued on Jun 25, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Manchester, NH. The record was last updated on Jun 25, 2012.