Individual provider · Type 1 NPI

John Theodore Genakos, MLADC

Addiction (Substance Use Disorder) Counselor · Manchester, NH

NPI number 1447544275 Active

Practice location

1228 Elm St
Manchester, NH 03101-1349

Call (603) 668-4111 Map

Fax (603) 628-7757

Mailing address

401 Cypress St
Manchester, NH 03103-3628

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0411 (NH)

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

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About NPI 1447544275

John Theodore Genakos, MLADC's National Provider Identifier is 1447544275, issued on Jun 9, 2011. 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 Jul 6, 2011.