Provider Demographics
NPI:1356550404
Name:UNIVERSITY OF NEW HAMPSHIRE COUNSELING CENTER
Entity type:Organization
Organization Name:UNIVERSITY OF NEW HAMPSHIRE COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CROSS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:603-862-2090
Mailing Address - Street 1:8 GARRISON AVE
Mailing Address - Street 2:SCHOFIELD HOUSE
Mailing Address - City:DURHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03824-2320
Mailing Address - Country:US
Mailing Address - Phone:603-862-2090
Mailing Address - Fax:603-862-0650
Practice Address - Street 1:8 GARRISON AVE
Practice Address - Street 2:SCHOFIELD HOUSE
Practice Address - City:DURHAM
Practice Address - State:NH
Practice Address - Zip Code:03824-2320
Practice Address - Country:US
Practice Address - Phone:603-862-2090
Practice Address - Fax:603-862-0650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH233103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty