Individual
TARNYA FEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, MLADC
Contact information
Practice address
2456 LAFAYETTE RD, SUITE 12, PORTSMOUTH, NH 03801-5624
(603) 498-6452
Mailing address
12 LADYSLIPPER LN, SOUTH BERWICK, ME 03908-2205
(603) 498-6452
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0994
NH
101YM0800X
Mental Health Counselor
Primary
1127
NH
Other
Enumeration date
05/08/2017
Last updated
05/08/2017
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