Provider Demographics
NPI:1689271744
Name:KENDALL, DORIS T (LCMHC)
Entity Type:Individual
Prefix:
First Name:DORIS
Middle Name:T
Last Name:KENDALL
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 1:182 GERRISH RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NH
Mailing Address - Zip Code:03268-5505
Mailing Address - Country:US
Mailing Address - Phone:603-648-2494
Mailing Address - Fax:
Practice Address - Street 1:40 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-4006
Practice Address - Country:US
Practice Address - Phone:603-226-7505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4321101YM0800X
NH2205101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health