Healthcare Provider Details

I. General information

NPI: 1891183901
Provider Name (Legal Business Name): TOUCHSTONE COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2014
Last Update Date: 12/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 ROXBURY ST
KEENE NH
03431-3283
US

IV. Provider business mailing address

80 ROXBURY ST
KEENE NH
03431-3283
US

V. Phone/Fax

Practice location:
  • Phone: 603-852-2709
  • Fax:
Mailing address:
  • Phone: 603-852-2709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0644
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number956
License Number StateNH

VIII. Authorized Official

Name: KATHERINE ROBERTSON
Title or Position: MANAGING MEMBER
Credential: MLADC, LCMHC
Phone: 603-852-2709