Provider Demographics
NPI:1609233659
Name:CW COUNSELING
Entity Type:Organization
Organization Name:CW COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:JULIE
Authorized Official - Last Name:WELLINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:603-287-7105
Mailing Address - Street 1:24 OPERA HOUSE SQ # 26
Mailing Address - Street 2:MOODY BUILDING
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743-5408
Mailing Address - Country:US
Mailing Address - Phone:603-287-7105
Mailing Address - Fax:603-287-7107
Practice Address - Street 1:24 OPERA HOUSE SQ # 26
Practice Address - Street 2:MOODY BUILDING
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743-5408
Practice Address - Country:US
Practice Address - Phone:603-287-7105
Practice Address - Fax:603-287-7107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH915101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty