Provider First Line Business Practice Location Address:
24 FRONT STREET
Provider Second Line Business Practice Location Address:
COASTAL COUNSELING ASSOCIATES
Provider Business Practice Location Address City Name:
EXETER
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03833-6221
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-778-0505
Provider Business Practice Location Address Fax Number:
603-772-6761
Provider Enumeration Date:
11/20/2006