Individual
TESSA KATHERINE MACGILLIVARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
76 NORTHEASTERN BLVD UNIT 28, NASHUA, NH 03062
(603) 402-1999
Mailing address
76 NORTHEASTERN BLVD UNIT 28, NASHUA, NH 03062-3174
(603) 402-1999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6982
MA
101YM0800X
Mental Health Counselor
Primary
707
NH
Other
Enumeration date
02/01/2013
Last updated
04/11/2019
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