Provider Demographics
NPI:1306399852
Name:TRANCHEMONTAGNE, CASSONDRA (MED, LCMHC, LCPC)
Entity Type:Individual
Prefix:
First Name:CASSONDRA
Middle Name:
Last Name:TRANCHEMONTAGNE
Suffix:
Gender:F
Credentials:MED, LCMHC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 EMERALD ST # 102
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-3626
Mailing Address - Country:US
Mailing Address - Phone:603-903-1414
Mailing Address - Fax:
Practice Address - Street 1:63 EMERALD ST # 102
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3626
Practice Address - Country:US
Practice Address - Phone:603-903-1414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-02
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
NH2286101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor