Individual provider · Type 1 NPI
Amy Pettengill, MLADC
Addiction (Substance Use Disorder) Counselor · Manchester, NH
NPI number
1457916660
Active
Practice location
700 Lake Ave
Manchester, NH 03103-2734
Mailing address
700 Lake Ave Ste A
Manchester, NH 03103-2734
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0957 (NH) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1233 (NH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1457916660
Amy Pettengill, MLADC's National Provider Identifier is 1457916660, issued on May 2, 2019. 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 24, 2025.