Healthcare Provider Details

I. General information

NPI: 1710529037
Provider Name (Legal Business Name): CAPITAL VALLEY COUNSELING ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2019
Last Update Date: 10/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 CENTRE ST STE 2
CONCORD NH
03301-6302
US

IV. Provider business mailing address

8 CENTRE ST STE 2
CONCORD NH
03301-6302
US

V. Phone/Fax

Practice location:
  • Phone: 603-288-7300
  • Fax: 603-228-7301
Mailing address:
  • Phone: 603-288-7300
  • Fax: 603-228-7301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CAROL LEONARD SOBELSON
Title or Position: PARTNER
Credential: LICSW
Phone: 603-228-7300