Healthcare Provider Details
I. General information
NPI: 1235844010
Provider Name (Legal Business Name): GABRIELLA OLHAVA LADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/17/2023
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
326 ROCHESTER HILL RD
ROCHESTER NH
03867-1700
US
IV. Provider business mailing address
PO BOX 1272
ROCHESTER NH
03866-1272
US
V. Phone/Fax
- Phone: 603-948-1230
- Fax: 603-948-1098
- Phone: 603-841-5353
- Fax: 603-841-5355
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 1169 |
| License Number State | NH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: