Vanden Bosch, Sue Ann
Vanden Bosch, Sue Ann is an individual health care provider with primary practice located at 106 Roxbury St , Keene NH 03431-3816. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Vanden Bosch, Sue Ann can be contacted via phone (603) 358-4041.Contact Information
Primary practice address
106 Roxbury St
Keene NH 03431-3816
Phone: (603) 358-4041
Fax: (603) 358-6527
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 752 | New Hampshire |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 752 | New Hampshire |
Profile Details
| NPI number | 1669780441 |
|---|---|
| LBN Legal business name | Vanden Bosch, Sue Ann |
| Credentials | LCMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2010 |
| Last updated | Mar 17th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669780441 | NPPES |
| New Hampshire | MEDICAID | 3078870 |
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