Provider Demographics
NPI:1376697938
Name:CHESTNUT HILL COUNSELING ASSOCIATES
Entity Type:Organization
Organization Name:CHESTNUT HILL COUNSELING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-749-4462
Mailing Address - Street 1:16 5TH ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-2950
Mailing Address - Country:US
Mailing Address - Phone:603-749-4462
Mailing Address - Fax:603-749-2475
Practice Address - Street 1:16 5TH ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2950
Practice Address - Country:US
Practice Address - Phone:603-749-4462
Practice Address - Fax:603-749-2475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty