Provider Demographics
NPI:1639235260
Name:CORREIA, MARGARET M (MED LADC)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:M
Last Name:CORREIA
Suffix:
Gender:F
Credentials:MED LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 GREENLEAF WOODS DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801
Mailing Address - Country:US
Mailing Address - Phone:603-427-5392
Mailing Address - Fax:603-427-5394
Practice Address - Street 1:6 GREENLEAF WOODS DR
Practice Address - Street 2:SUITE 202
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801
Practice Address - Country:US
Practice Address - Phone:603-427-5392
Practice Address - Fax:603-427-5394
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH0516101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor