Provider Demographics
NPI:1417506890
Name:ABARE HOYT, CASSANDRA LOREN (MLADC, LCMHC)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:LOREN
Last Name:ABARE HOYT
Suffix:
Gender:F
Credentials:MLADC, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 S MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03755-2099
Mailing Address - Country:US
Mailing Address - Phone:603-563-0837
Mailing Address - Fax:
Practice Address - Street 1:44 S MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755-2099
Practice Address - Country:US
Practice Address - Phone:603-563-0837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-09
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2040101YM0800X, 101YP2500X
NH0972101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional