Healthcare Provider Details

I. General information

NPI: 1427287804
Provider Name (Legal Business Name): RACHAEL ELIZABETH HOWARD MS, MLADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2009
Last Update Date: 10/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 MAIN STREET
ANTRIM NH
03440
US

IV. Provider business mailing address

PO BOX 344
ANTRIM NH
03440-0344
US

V. Phone/Fax

Practice location:
  • Phone: 603-808-0185
  • Fax:
Mailing address:
  • Phone: 603-808-0185
  • Fax: 603-808-0211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: