Provider Demographics
NPI:1457618209
Name:PECORA, M MAUREEN (LCMHC)
Entity Type:Individual
Prefix:MS
First Name:M
Middle Name:MAUREEN
Last Name:PECORA
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 1:5 ALUMNI DR.
Mailing Address - Street 2:EXETER HOSPITAL
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833
Mailing Address - Country:US
Mailing Address - Phone:603-580-6698
Mailing Address - Fax:603-778-9176
Practice Address - Street 1:1 HAMPTON RD
Practice Address - Street 2:SUITE 107A
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-4848
Practice Address - Country:US
Practice Address - Phone:603-580-6698
Practice Address - Fax:603-778-9176
Is Sole Proprietor?:No
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH212101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health