Provider Demographics
NPI:1376187005
Name:STONE-PORRECA, TERRY (LCMHC)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:
Last Name:STONE-PORRECA
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:TERRY
Other - Middle Name:S
Other - Last Name:PORRECA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:35 NEWPORT ROAD
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:NH
Mailing Address - Zip Code:03257-5413
Mailing Address - Country:US
Mailing Address - Phone:603-865-1321
Mailing Address - Fax:603-865-1327
Practice Address - Street 1:2 BUCK RD STE J
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755-2715
Practice Address - Country:US
Practice Address - Phone:603-865-1321
Practice Address - Fax:603-865-1327
Is Sole Proprietor?:No
Enumeration Date:2019-11-06
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0135454101YM0800X
NH2202101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health