JOHN THEODORE GENAKOS

MANCHESTER, NH
NPI1447544275
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NH  0411)
Enumeration Date2011-06-09
Last Update Date2011-07-06
Business Address
Mr. JOHN THEODORE GENAKOS MLADC
1228 ELM ST
MANCHESTER, NH 03101-1349
Phone number: 603-668-4111
Mailing Address
Mr. JOHN THEODORE GENAKOS MLADC
401 CYPRESS ST
MANCHESTER, NH 03103-3628
Phone number: 603-668-4111