Organization
COASTAL COUNSELING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. KATHRYN FORBES-FISHER LICSW (PARTNER)
(603) 778-0505
Entity
Organization
Contact information
Practice address
24 FRONT ST STE 2, EXETER, NH 03833-2727
(603) 778-0505
Mailing address
24 FRONT ST STE 2, EXETER, NH 03833-2727
(603) 778-0505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
136
NH
1041C0700X
Clinical Social Worker
188
NH
1041C0700X
Clinical Social Worker
245
NH
1041C0700X
Clinical Social Worker
606
NH
1041C0700X
Clinical Social Worker
94
NH
1041C0700X
Clinical Social Worker
95
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30009700
—
NH
Enumeration date
02/22/2007
Last updated
01/02/2015
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