Deborah A Wood, MA, LCMHC
Individual provider Active NPI Mental Health Counselor · Epsom, NH
NPI 1619985876 · NPPES record last updated Sep 17, 2018
Key facts
- NPI
- 1619985876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 2064 (NH)
- Practice address
- 1990 Dover Rd
Epsom, NH 03234 - Phone
- (603) 736-3047
- NPI assigned
- Aug 4, 2006
- 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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC2183 | ME | MD | Professional Counselor |
| 2064 | NH | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC2183 | ME | |
| Mental Health Counselor | 101YM0800X | 2064 | NH | Yes |
Addresses
Primary practice location
1990 Dover Rd
Epsom, NH 03234
Mailing address
PO Box 2032
Concord, NH 03302-2032
Phone (603) 226-7505
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 284410099 | Medicaid | ME |
Other providers in Epsom, NH
All providers in Epsom, NH · Mental Health Counselor in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.