Healthcare Provider Details
I. General information
NPI: 1851508527
Provider Name (Legal Business Name): DEBRA M. HOHNECKER MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
76 SUMMER ST
FITCHBURG MA
01420-5783
US
IV. Provider business mailing address
1 CHATHAM CT
AMHERST NH
03031-1523
US
V. Phone/Fax
- Phone: 978-345-6729
- Fax:
- Phone: 603-672-6430
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: