Provider Demographics
NPI:1548616543
Name:GENEST, PATRICIA (LCMHC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:GENEST
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 GILCREAST RD STE 300
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3518
Mailing Address - Country:US
Mailing Address - Phone:603-689-7648
Mailing Address - Fax:603-883-0007
Practice Address - Street 1:77 GILCREAST RD STE 300
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3518
Practice Address - Country:US
Practice Address - Phone:603-689-7648
Practice Address - Fax:603-883-0007
Is Sole Proprietor?:No
Enumeration Date:2016-05-09
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NH2102101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health