Provider Demographics
NPI:1093296337
Name:BEDNAR, CORIN JESSICA (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:CORIN
Middle Name:JESSICA
Last Name:BEDNAR
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 ERDMAN WAY STE 208
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-1840
Mailing Address - Country:US
Mailing Address - Phone:978-970-1840
Mailing Address - Fax:
Practice Address - Street 1:150 S WINCHESTER ST APT 1
Practice Address - Street 2:
Practice Address - City:SWANZEY
Practice Address - State:NH
Practice Address - Zip Code:03446-3254
Practice Address - Country:US
Practice Address - Phone:603-313-9487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-24
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health