Doctor Name: | NICHOLAS HUDSON-SWOGGER |
NPI Number: | 1235355660 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, LCMHC |
License Number: | 766 |
Business Practice Address: | 64 Kearsarge Road North Conway, NH - 03860 |
Business Phone Number: | 6034930562 |
Business Fax Number: | |
Mailing Address: | Po Box 1425, NORTH CONWAY |
State: | NH |
Postal Code: | 038601425 |
Phone Number: | 6034930562 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 01/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 766 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |