Active NPIIndividual provider

Amy L Fredette, CRSW, LDAC

Counselor, Addiction (Substance Use Disorder) in Manchester, New Hampshire

NPI Number1689493355
Practice location
700 Lake Ave, Manchester, NH 03103-2734
Fax
603-621-4293
Last updated
October 9, 2024

Amy Lee Fredette is a Counselor, Addiction (Substance Use Disorder) based in Manchester, NH. Amy Lee Fredette practices in Manchester, NH and has the professional credentials of CRSW, LDAC. The NPI Number for Amy Lee Fredette is 1689493355 and holds a License No. 0205 (NH). The current practice location address for Amy Lee Fredette is 700 Lake Ave, Manchester, NH 03103-2734 and can be reached out via phone at 603-623-6324 and via fax at 603-621-4293.

Provider Profile Details

NPI Number
1689493355
Provider Name
Amy Lee Fredette
Credential
CRSW, LDAC
Provider Entity Type
Individual
Gender
Female
Address
700 Lake Ave, Manchester, NH 03103-2734
Phone Number
603-623-6324
Fax Number
603-621-4293
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
October 9, 2024
Last Update Date
October 9, 2024
Certification Date
October 8, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
700 Lake Ave
Manchester, NH 03103-2734
Zip
03103-2734
Phone Number
603-623-6324
Fax Number
603-621-4293
Manchester, NH 03103Get directions →

Provider Business Mailing Address Details

Address
22 Thornton RD W
Merrimack, NH 03054-4714
City
Merrimack
State
NH
Zip
03054-4714
Phone Number
603-820-2600
Fax Number
603-621-4293

License Information

License Number (1)
0205
License State (1)
NH
License Number (2)
1522
License State (2)
NH
Taxonomy (2)
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amy L Fredette, CRSW, LDAC?

The NPI number of Amy L Fredette, CRSW, LDAC is 1689493355. It was assigned on October 9, 2024 and is currently active in the NPPES registry.

What is the specialty of Amy L Fredette, CRSW, LDAC?

Amy L Fredette, CRSW, LDAC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NH under license number 0205.

Where does Amy L Fredette, CRSW, LDAC practice?

The practice location is 700 Lake Ave, Manchester, NH 03103-2734. The office can be reached at 603-623-6324 (phone) or 603-621-4293 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689493355 directly on the NPPES registry website.

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