Healthcare Provider Details

I. General information

NPI: 1548855497
Provider Name (Legal Business Name): INDIA DIGGS MA, CMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2021
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

194 PLEASANT ST STE 14
CONCORD NH
03301-2952
US

IV. Provider business mailing address

35 NEWPORT RD
NEW LONDON NH
03257-5413
US

V. Phone/Fax

Practice location:
  • Phone: 603-865-1321
  • Fax:
Mailing address:
  • Phone: 603-865-1321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: