Horan, Mark J

Horan, Mark J is an sole proprietor health care provider with primary practice located at 81 Washington St , Conway NH 03818-6044. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Horan, Mark J can be contacted via phone (603) 447-2453.

Contact Information

Primary practice address
81 Washington St Conway NH 03818-6044
Fax: (603) 447-2450
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 315 New Hampshire

Profile Details

NPI number 1538221205
LBN Legal business name Horan, Mark J
Credentials LCMHC, LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538221205 NPPES
New Hampshire MEDICAID 30424635

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