Individual
LAVERNE V. MACINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
445 CYPRESS ST STE 8, MANCHESTER, NH 03103-3600
(603) 668-4079
(603) 663-8605
Mailing address
445 CYPRESS ST, SUITE 8, MANCHESTER, NH 03103-3600
(603) 668-4079
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
124
NH
Other
Enumeration date
10/12/2006
Last updated
07/24/2008
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