CHRISTINE ALICE AVERILL MLADC
NPI 1972992428
Counselor - Addiction (Substance Use Disorder) in Concord, NH
Active since January 21, 2015
About Christine Alice Averill Mladc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRISTINE ALICE AVERILL MLADC (NPI 1972992428) is an individual addiction (substance use disorder) provider in Concord, New Hampshire, licensed in New Hampshire (0471) and active in the NPI registry since January 2015.
NPPES Registry Identity
NPI1972992428
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCHRISTINE ALICE AVERILLCredential: MLADC
Location Address4 COURT ST, 2ND FLOORConcord, NH 03301-4306
Mailing Address4 Court St, 2nd FloorConcord, NH 03301-4306 · (603) 225-5445 · Fax (603) 226-4690
Phone(603) 225-5445
Fax(603) 226-4690
Sole ProprietorYes
Enumeration DateJanuary 21, 2015
✔ NPI 1972992428 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 · 0471
4 COURT ST, Concord, NH 03301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972992428, enumerated as an "individual" on January 21, 2015.
The provider is located at 4 COURT ST 2ND FLOOR CONCORD, NH 03301 and the phone number is (603) 225-5445.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
