Active NPIIndividual providerSole proprietor

Dr. Serena D Duckrow Fonda, LCMHC, ATR-BCCS

Counselor, Mental Health in Pembroke, New Hampshire

NPI Number1730543356
Practice location
114 Dudley Hill RD, Pembroke, NH 03275-2908
Fax
—
Last updated
May 5, 2020

Serena D Duckrow Fonda is a Counselor, Mental Health based in Pembroke, NH. Serena D Duckrow Fonda practices in Pembroke, NH and has the professional credentials of LCMHC, ATR-BCCS. The NPI Number for Serena D Duckrow Fonda is 1730543356. The current practice location address for Serena D Duckrow Fonda is 114 Dudley Hill RD, Pembroke, NH 03275-2908 and can be reached out via phone at 603-953-5525.

Provider Profile Details

NPI Number
1730543356
Provider Name
Serena D Duckrow Fonda
Credential
LCMHC, ATR-BCCS
Provider Entity Type
Individual
Gender
Female
Address
114 Dudley Hill RD, Pembroke, NH 03275-2908
Phone Number
603-953-5525
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
April 9, 2016
Last Update Date
May 5, 2020
Certification Date
May 5, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
114 Dudley Hill RD
Pembroke, NH 03275-2908
Zip
03275-2908
Phone Number
603-953-5525
Pembroke, NH 03275Get directions →

Provider Business Mailing Address Details

Address
114 Dudley Hill RD
Pembroke, NH 03275-2908
City
Pembroke
State
NH
Zip
03275-2908
Phone Number
603-953-5525

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Dr. Serena D Duckrow Fonda, LCMHC, ATR-BCCS?

The NPI number of Dr. Serena D Duckrow Fonda, LCMHC, ATR-BCCS is 1730543356. It was assigned on April 9, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Serena D Duckrow Fonda, LCMHC, ATR-BCCS?

Dr. Serena D Duckrow Fonda, LCMHC, ATR-BCCS is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Dr. Serena D Duckrow Fonda, LCMHC, ATR-BCCS practice?

The practice location is 114 Dudley Hill RD, Pembroke, NH 03275-2908. The office can be reached at 603-953-5525 (phone).

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 1730543356 directly on the NPPES registry website.

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