MEDICARE: MS. CLAIRE J WELLINGTON MA, LCMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	915	NH

General Provider Information

NPI Number	:	1851501589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CLAIRE J WELLINGTON MA, LCMHC

Provider Business Mailing Address
First Line	:	24 OPERA HOUSE SQ # 26
Second Line	:
City	:	CLAREMONT
State	:	NH
Zip	:	03743-5408
Country	:	US
Telephone Number	:	603-252-6133
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 OPERA HOUSE SQ # 26
Second Line	:
City	:	CLAREMONT
State	:	NH
Zip	:	03743-5408
Country	:	US
Telephone Number	:	603-252-6133
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	02/03/2016

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