Provider Demographics
NPI:1427588177
Name:TRI CITY COUNSELING
Entity Type:Organization
Organization Name:TRI CITY COUNSELING
Other - Org Name:DONNA M. FREDETTE DBA TRI CITY COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:FREDETTE
Authorized Official - Suffix:
Authorized Official - Credentials:MLADC
Authorized Official - Phone:603-312-0814
Mailing Address - Street 1:150 W HIGH ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSWORTH
Mailing Address - State:NH
Mailing Address - Zip Code:03878-1527
Mailing Address - Country:US
Mailing Address - Phone:603-661-7403
Mailing Address - Fax:
Practice Address - Street 1:150 WEST HIGH ST
Practice Address - Street 2:
Practice Address - City:SOMERSWORTH
Practice Address - State:NH
Practice Address - Zip Code:03878
Practice Address - Country:US
Practice Address - Phone:603-661-7403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH1992913172OtherNPI LAURA BRISSETTE