Individual
FAITHANNA MAY THIBEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
3 ATWOOD AVE, WEST LEBANON, NH 03784-1401
(603) 518-4073
Mailing address
3 ATWOOD AVE, WEST LEBANON, NH 03784-1401
(603) 518-4073
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
969
NH
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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