MEDICARE: GRAFTON COUNTY

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

General Provider Information

NPI Number	:	1346604469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRAFTON COUNTY

Provider Business Mailing Address
First Line	:	3855 DARTMOUTH COLLEGE HWY
Second Line	:
City	:	NORTH HAVERHILL
State	:	NH
Zip	:	03774-4937
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3801 DARTMOUTH COLLEGE HWY
Second Line	:
City	:	NORTH HAVERHILL
State	:	NH
Zip	:	03774-4909
Country	:	US
Telephone Number	:	603-787-2042
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	JULIE LIBBY
Credential	:
Telephone Number	:	603-787-6941

Provider Enumeration Date	:	04/06/2016
Last Update Date	:	04/06/2016

Similar Medicare Providers

1053319517 — COUNTY OF GRAFTON
Practice Location Address:

3855 DARTMOUTH COLLEGE HWY
NORTH HAVERHILL, NH
03774-4909

Practice Phone: 603-787-6971
Practice Fax: 603-787-2035

1760539449 — DR. LINDA SUZETTE DEFRAHN D.O.
Practice Location Address:

3855 DARTMOUTH COLLEGE HWY
NORTH HAVERHILL, NH
03774-4909

Practice Phone: 603-787-6971
Practice Fax: 603-787-2035

1538401401 — NICOLE LYN MITCHELL LADC
Practice Location Address:

3801 DARTMOUTH COLLEGE HWY
NORTH HAVERHILL, NH
03774-4909

Practice Phone: 603-787-2042
Practice Fax: 603-787-2044

1023871787 — CASSIE ELIZABETH MANNING B.S, LADC
Practice Location Address:

3801 DARTMOUTH COLLEGE HWY
NORTH HAVERHILL, NH
03774-4909

Practice Phone: 603-787-2042
Practice Fax:

1417906496 — MRS. LILI CARGILL ARNP
Practice Location Address:

3855 DARTMOUTH COLLEGE HWY
NORTH HAVERHILL, NH
03774-4937

Practice Phone: 603-787-6971
Practice Fax: 603-787-2012

1881637379 — MS. MARIE LOUISE FRANCIS PT
Practice Location Address:

85 SINCLAIR RD
NORTH HAVERHILL, NH
03774-5963

Practice Phone: 603-787-9000
Practice Fax: 603-787-9999

Directions to “GRAFTON COUNTY ” Practice Location

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