Individual
THISVI MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, MLADC
Contact information
Practice address
32 OLD WELLINGTON RD # 287, MANCHESTER, NH 03104-4518
(603) 203-5478
Mailing address
32 OLD WELLINGTON RD # 287, MANCHESTER, NH 03104-4518
(603) 203-5478
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
807
NH
101YM0800X
Mental Health Counselor
Primary
2251
NH
174400000X
Specialist
807
NH
Other
Enumeration date
06/14/2011
Last updated
10/17/2024
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