Individual
ELIZABETH STREETT LICHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
41 LIBERTY HILL RD, BLDG 2 SUITE 218, HENNIKER, NH 03242-6045
(603) 428-7400
Mailing address
PO BOX 529, HENNIKER, NH 03242-0529
(603) 428-7400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
760
NH
106H00000X
Marriage & Family Therapist
Primary
100
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204965864
—
NH
Enumeration date
04/10/2007
Last updated
06/01/2012
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