MEDICARE: MS. ROSE MARIE TRAYNOR MA, LCMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	0680000578	VT
2	101YM0800X	Mental Health Counselor	2781	NH

General Provider Information

NPI Number	:	1952481558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROSE MARIE TRAYNOR MA, LCMHC

Provider Business Mailing Address
First Line	:	6 CHENELL DR STE 100
Second Line	:
City	:	CONCORD
State	:	NH
Zip	:	03301-8514
Country	:	US
Telephone Number	:	603-545-8355
Fax Number	:	603-715-2121

Provider Business Practice Location Address
First Line	:	6 CHENELL DR STE 100
Second Line	:
City	:	CONCORD
State	:	NH
Zip	:	03301-8514
Country	:	US
Telephone Number	:	35-458-3556
Fax Number	:	603-715-2121

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	09/12/2024

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