Provider Demographics
NPI:1447745625
Name:SEAMAN, LOIS ELIZABETH (CRSW)
Entity Type:Individual
Prefix:MRS
First Name:LOIS
Middle Name:ELIZABETH
Last Name:SEAMAN
Suffix:
Gender:F
Credentials:CRSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 COURT ST
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-1769
Mailing Address - Country:US
Mailing Address - Phone:603-499-1198
Mailing Address - Fax:
Practice Address - Street 1:815 COURT ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-1769
Practice Address - Country:US
Practice Address - Phone:603-499-1198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-29
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
NH0073101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)