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NPI Code Detail

MEDICARE: TRICIA MARIE MCLEOD LMHC

MEDICARE: TRICIA MARIE MCLEOD LMHC
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
1101YM0800XMental Health Counselor6189MA

General Provider Information

NPI Number : 1962539890
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRICIA MARIE MCLEOD LMHC
Provider Business Mailing Address
First Line : 101 MAIN ST APT A
Second Line :
City : WEST CHESTERFIELD
State : NH
Zip : 03466-3214
Country : US
Telephone Number : 603-256-3263
Fax Number :
Provider Business Practice Location Address
First Line : 131 W MAIN ST
Second Line : CHILD AND FAMILY SERVICE
City : ORANGE
State : MA
Zip : 01364-1150
Country : US
Telephone Number : 978-544-2148
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 04/02/2008

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Directions to “ TRICIA MARIE MCLEOD LMHC” Practice Location

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