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NPI Code Detail

MEDICARE: CHRISTOPHER CASAGRANDE

MEDICARE: CHRISTOPHER CASAGRANDE
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
1101YA0400XAddiction (Substance Use Disorder) Counselor1049NH
2171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
27706655Y0NH01OTHERNHBHN

General Provider Information

NPI Number : 1215079520
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER CASAGRANDE
Provider Business Mailing Address
First Line : 1145 SAGAMORE AVE
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03801-5585
Country : US
Telephone Number : 603-431-6703
Fax Number : 603-430-3753
Provider Business Practice Location Address
First Line : 140 QUEEN CITY AVE
Second Line :
City : MANCHESTER
State : NH
Zip : 03103-7122
Country : US
Telephone Number : 603-622-3020
Fax Number : 603-621-4295
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2007
Last Update Date : 12/13/2018

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Directions to “ CHRISTOPHER CASAGRANDE ” Practice Location

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