Provider Demographics
NPI:1619601473
Name:NEWTON, GARY (MS, LCMHC)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:
Last Name:NEWTON
Suffix:
Gender:M
Credentials:MS, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 ROOSEVELT AVE APT 26
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-2874
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:25 SUNDIAL AVE STE 310W
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-7244
Practice Address - Country:US
Practice Address - Phone:603-634-9471
Practice Address - Fax:603-676-2173
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-15
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2518101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty