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Individual

MS. MELISSA LYNN FERNALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
839 ROUTE 16 # B, OSSIPEE, NH 03864-7169
(603) 848-2260
Mailing address
839 ROUTE 16 # B, OSSIPEE, NH 03864-7169
(603) 848-2260

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC7038
ME
101YM0800X
Mental Health Counselor
Primary
5092
NH
101YM0800X
Mental Health Counselor
LC18215
ME

Other

Enumeration date
08/13/2010
Last updated
10/02/2025
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