Mary Croasdale is a Counselor based in Conway, NH. Mary Croasdale practices in Conway, NH. The NPI Number for Mary Croasdale is 1790934719 and holds a License No. (New Hampshire).
The current practice location address for Mary Croasdale is 25 W Main St, Conway, NH and can be reached out via phone at 603-447-2111.
Location: 25 W Main St, Conway, NH, 03818-6044
Provider Profile Details
NPI Number
1790934719
Provider Name
Mary Croasdale
Credential
Provider Entity Type
Individual
Gender
Female
Address
25 W Main St, Conway, NH, 03818-6044
Phone Number
603-447-2111
Fax Number
Provider Enumeration Date
09/15/2008
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7706638Y0NH01 | 01 | NH | ANTHEM |
| 81263824 | 05 | NH |
Provider Business Practice Location Address Details
Address
25 W Main St
City
State
Zip
03818-6142
Phone Number
603-447-2111
Fax Number
Provider Business Mailing Address Details
Address
25 W Main St
City
State
Zip
03818-6142
Phone Number
603-447-2111
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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