KELLY MARIE REARDON MLADC
NPI 1174887145
Counselor - Addiction (Substance Use Disorder) in Manchester, NH
Active since June 25, 2012
About Kelly Marie Reardon Mladc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY MARIE REARDON MLADC (NPI 1174887145) is an individual addiction (substance use disorder) provider in Manchester, New Hampshire, licensed in New Hampshire (0684) and active in the NPI registry since June 2012.
NPPES Registry Identity
NPI1174887145
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY MARIE REARDONCredential: MLADC
Location Address101 MANCHESTER STManchester, NH 03101-2205
Mailing Address101 Manchester StManchester, NH 03101-2205 · (603) 625-6980 · Fax (603) 625-6982
Phone(603) 625-6980
Fax(603) 625-6982
Sole ProprietorNo
Enumeration DateJune 25, 2012
✔ NPI 1174887145 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NH · 0684
101 MANCHESTER ST, Manchester, NH 03101
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
101 MANCHESTER ST
MANCHESTER, NH 03101
MANCHESTER, NH 03101
Case Manager/Care Coordinator
101 MANCHESTER ST
MANCHESTER, NH 03101
MANCHESTER, NH 03101
Counselor (Addiction (Substance Use Disorder))
101 MANCHESTER ST
MANCHESTER, NH 03101
MANCHESTER, NH 03101
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174887145, enumerated as an "individual" on June 25, 2012.
The provider is located at 101 MANCHESTER ST MANCHESTER, NH 03101 and the phone number is (603) 625-6980.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
