Individual
DIANE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC, MLADC
Contact information
Practice address
440 AMHERST ST, NASHUA, NH 03063
(603) 889-6147
(603) 883-1568
Mailing address
7 PROSPECT ST, NASHUA, NH 03060
(603) 889-6147
(603) 883-1568
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0584
NH
101YM0800X
Mental Health Counselor
Primary
1073
NH
Other
Enumeration date
07/16/2014
Last updated
02/09/2018
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