Linda Denise Andersen, MS, CMHC, CBIS

Individual provider Active NPI Mental Health Counselor · Berlin, NH

NPI 1083977904 · NPPES record last updated Jun 21, 2012

Key facts

NPI
1083977904
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
3 Twelfth St
Berlin, NH 03570-3860
Phone
(603) 752-7404
Fax
(603) 752-5194
NPI assigned
Jun 18, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

3 Twelfth St
Berlin, NH 03570-3860

Mailing address

3 Twelfth St
Berlin, NH 03570-3860
Phone (603) 752-7404

Other identifiers

IdentifierTypeStateIssuer
02-0300994MedicaidNH

Other providers in Berlin, NH

All providers in Berlin, NH · Mental Health Counselor in New Hampshire

Sources for this page

Verify at the official NPI Registry.