Provider Demographics
NPI:1376087650
Name:LEITCH, GEMINI (MA, CMHC)
Entity Type:Individual
Prefix:
First Name:GEMINI
Middle Name:
Last Name:LEITCH
Suffix:
Gender:F
Credentials:MA, CMHC
Other - Prefix:
Other - First Name:GEMINI
Other - Middle Name:
Other - Last Name:DEMERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3 12TH ST
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NH
Mailing Address - Zip Code:03570-3860
Mailing Address - Country:US
Mailing Address - Phone:603-752-7404
Mailing Address - Fax:
Practice Address - Street 1:3 12TH ST
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:NH
Practice Address - Zip Code:03570-3860
Practice Address - Country:US
Practice Address - Phone:603-752-7404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-06
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health