Provider Demographics
NPI:1457957631
Name:ROCCA, MARGARET LILA (MED LMHC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:LILA
Last Name:ROCCA
Suffix:
Gender:F
Credentials:MED LMHC
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:LILA
Other - Last Name:SAUNDERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED LMHC
Mailing Address - Street 1:#1001 76 FORT EDDY ROAD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03103
Mailing Address - Country:US
Mailing Address - Phone:603-582-8489
Mailing Address - Fax:
Practice Address - Street 1:#1001 76 FORT EDDY ROAD
Practice Address - Street 2:SUITE 1
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301
Practice Address - Country:US
Practice Address - Phone:603-657-7493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-11
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11897101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health