Healthcare Provider Details

I. General information

NPI: 1922645449
Provider Name (Legal Business Name): ALAN HEBERT MA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2019
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 HOOKSETT RD
HOOKSETT NH
03106-1886
US

IV. Provider business mailing address

1330 HOOKSETT RD
HOOKSETT NH
03106-1886
US

V. Phone/Fax

Practice location:
  • Phone: 603-834-3106
  • Fax:
Mailing address:
  • Phone: 603-834-3106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10002845
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5548
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: