Provider Demographics
NPI:1255861639
Name:TROWBRIDGE, NICHOLAS (CMHC)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:
Last Name:TROWBRIDGE
Suffix:
Gender:M
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 TEMPLE ST STE 105
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-2401
Mailing Address - Country:US
Mailing Address - Phone:603-880-9880
Mailing Address - Fax:
Practice Address - Street 1:30 TEMPLE ST STE 105
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2401
Practice Address - Country:US
Practice Address - Phone:603-880-9880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-18
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 171M00000X
NH2812101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator