Individual provider · Type 1 NPI

Amy Rose Raven Waddell, LCMHC

Mental Health Counselor · Manchester, NH

NPI number 1861033052 Active

Practice location

2 Wall St Ste 400
Manchester, NH 03101-1518

Call (603) 668-4111 Map

Mailing address

2 Wall St Ste 300
Manchester, NH 03101-1518

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X6401017758 (MI)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1861033052

Amy Rose Raven Waddell, LCMHC's National Provider Identifier is 1861033052, issued on Sep 30, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Manchester, NH. The record was last updated on Sep 19, 2023.