MS. MARY ELIZABETH KOON RN MED LADC NPI 1780773879

NPI Information

NPI: 1780773879
Provider Name: MS. MARY ELIZABETH KOON, RN MED LADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2013 ELM ST
PASTORAL COUNSELING SERVICES
MANCHESTER, NH
ZIP 03104
Phone: (603) 627-2702
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MS. Mary Elizabeth Koon, RN MED LADC is an addiction (substance use disorder) counselor in Manchester, NH. MS. Mary Elizabeth Koon, RN MED LADC NPI is 1780773879. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2013 ELM ST
PASTORAL COUNSELING SERVICES
MANCHESTER, NH
ZIP 03104
Phone: (603) 627-2702
Fax: (603) 627-3643

The enumeration date for this NPI number is 10/12/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	035	NEW HAMPSHIRE	Yes
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	01976321	NEW HAMPSHIRE	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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