person
Maryjane Bahiyyih Corgnati, PMHNP
Addiction (Substance Use Disorder) Counselor in Lancaster, New Hampshire
NPI 1265957013

Maryjane Bahiyyih Corgnati is an Addiction (Substance Use Disorder) Counselor based in Lancaster, NH and is specialized in Addiction (Substance Use Disorder). Maryjane Bahiyyih Corgnati practices in Lancaster, NH and has the professional credentials of PMHNP. The NPI Number for Maryjane Bahiyyih Corgnati is 1265957013 and holds a License No. 064044-23 (New Hampshire).

The current practice location address for Maryjane Bahiyyih Corgnati is 170 Middle St, Lancaster, NH and can be reached out via phone at 603-788-2521 and via fax at 603-788-5092.

Location: 170 Middle St, Lancaster, NH, 03584-3508
person
Provider Profile Details
NPI Number
1265957013
Provider Name
Maryjane Bahiyyih Corgnati
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
170 Middle St, Lancaster, NH, 03584-3508
Phone Number
603-788-2521
Fax Number
603-788-5092
Provider Enumeration Date
08/12/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1031732 05 VT
3110854 05 NH
institution
Provider Business Practice Location Address Details
Address
170 Middle St
City
State
Zip
03584-3556
Phone Number
603-788-2521
Fax Number
603-788-5092
person
Provider Business Mailing Address Details
Address
170 Middle St
City
State
Zip
03584-3556
Phone Number
603-788-2521
Fax Number
603-788-5092
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
064044-23 (New Hampshire)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
064044-23 (New Hampshire)
Definition
Definition to come...
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