Individual
KAYLA FEDORCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCMHC
Contact information
Practice address
149 HANOVER ST, MANCHESTER, NH 03101-2235
(603) 696-4872
Mailing address
149 HANOVER ST, MANCHESTER, NH 03101-2235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4864
NH
Other
Enumeration date
06/07/2018
Last updated
12/11/2024
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