MEDICARE: MR. LEONARD JOSEPH MURPHY LADC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	635	NH

General Provider Information

NPI Number	:	1134426034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LEONARD JOSEPH MURPHY LADC

Provider Business Mailing Address
First Line	:	370 PORTSMOUTH AVE
Second Line	:	BOX 1
City	:	GREENLAND
State	:	NH
Zip	:	03840-2252
Country	:	US
Telephone Number	:	603-502-7364
Fax Number	:	603-319-8102

Provider Business Practice Location Address
First Line	:	370 PORTSMOUTH AVE
Second Line	:	BOX 1
City	:	GREENLAND
State	:	NH
Zip	:	03840-2252
Country	:	US
Telephone Number	:	603-502-7364
Fax Number	:	603-319-8102

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

Provider Enumeration Date	:	02/12/2011
Last Update Date	:	02/12/2011

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