Basic Information
| Provider Information | |||||||||
| NPI: | 1629502620 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOUGHTON | ||||||||
| FirstName: | CAROL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 29 MAPLE ST | ||||||||
| Address2: | |||||||||
| City: | LITTLETON | ||||||||
| State: | NH | ||||||||
| PostalCode: | 035614729 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6034445358 | ||||||||
| FaxNumber: | 6034440145 | ||||||||
| Practice Location | |||||||||
| Address1: | 2957 MAIN STREET | ||||||||
| Address2: | |||||||||
| City: | BETHLEHEM | ||||||||
| State: | NH | ||||||||
| PostalCode: | 035740357 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6036174815 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/17/2017 | ||||||||
| LastUpdateDate: | 08/04/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/09/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | 0817 | NH | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 101YA0400X | 1166 | NH | Y | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No ID Information.