Canvas Psychotherapy Pllc | |
84 W Broadway Ste 200 Derry NH 03038-2323 | |
(603) 548-3586 | |
Not Available |
Full Name | Canvas Psychotherapy Pllc |
---|---|
Speciality | Counselor - Mental Health |
Location | 84 W Broadway Ste 200, Derry, New Hampshire |
Authorized Official Name and Position | Jacquelyn Duford (OWNER) |
Authorized Official Contact | 6035483586 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Canvas Psychotherapy Pllc Po Box 1132 Raymond NH 03077-1132 Ph: () - | Canvas Psychotherapy Pllc 84 W Broadway Ste 200 Derry NH 03038-2323 Ph: (603) 548-3586 |
NPI Number | 1225738891 |
---|---|
Provider Enumeration Date | 03/03/2023 |
Last Update Date | 03/03/2023 |
Certification Date | 03/03/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225738891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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