MEDICARE: AMORETTE HARBECK HOWLAND O'BRIEN MSFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	210	NH

General Provider Information

NPI Number	:	1942816996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMORETTE HARBECK HOWLAND O'BRIEN MSFT

Provider Business Mailing Address
First Line	:	25 INDIAN ROCK RD STE 12
Second Line	:
City	:	WINDHAM
State	:	NH
Zip	:	03087-1691
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 INDIAN ROCK RD STE 12
Second Line	:
City	:	WINDHAM
State	:	NH
Zip	:	03087-1691
Country	:	US
Telephone Number	:	203-962-2506
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2020
Last Update Date	:	09/16/2020

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