Healthcare Provider Details

I. General information

NPI: 1891844460
Provider Name (Legal Business Name): CAPITAL VALLEY COUNSELING ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 CENTRE ST STE 2
CONCORD NH
03301-6302
US

IV. Provider business mailing address

8 CENTRE ST STE 2
CONCORD NH
03301-6302
US

V. Phone/Fax

Practice location:
  • Phone: 603-228-7300
  • Fax: 603-228-7301
Mailing address:
  • Phone: 603-228-7300
  • Fax: 603-228-7301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. NORMAN D. KINSLER
Title or Position: VICE PRESIDENT
Credential: PSYD
Phone: 603-228-7300