Provider Demographics
NPI:1003066465
Name:GAMACHE, JULIA ELIZABETH (MSW, MLADC)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:ELIZABETH
Last Name:GAMACHE
Suffix:
Gender:F
Credentials:MSW, MLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1193 HOOKSETT RD STE 2
Mailing Address - Street 2:
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106-1091
Mailing Address - Country:US
Mailing Address - Phone:603-777-0361
Mailing Address - Fax:603-413-4633
Practice Address - Street 1:1193 HOOKSETT RD STE 2
Practice Address - Street 2:
Practice Address - City:HOOKSETT
Practice Address - State:NH
Practice Address - Zip Code:03106-1091
Practice Address - Country:US
Practice Address - Phone:603-777-0361
Practice Address - Fax:603-413-4633
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-23
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0652101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)