Provider Demographics
NPI:1629633342
Name:MCFARLAND, BREONNA NICOLE (LMFT, LCMHC, LPCC)
Entity type:Individual
Prefix:MRS
First Name:BREONNA
Middle Name:NICOLE
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:LMFT, LCMHC, LPCC
Other - Prefix:MISS
Other - First Name:BREONNA
Other - Middle Name:NICOLE
Other - Last Name:SANDERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MAIDEN NAME
Mailing Address - Street 1:2 SCITUATE PL UNIT 23
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-2786
Mailing Address - Country:US
Mailing Address - Phone:661-221-8915
Mailing Address - Fax:
Practice Address - Street 1:11 KIMBALL DR STE 104-105
Practice Address - Street 2:
Practice Address - City:HOOKSETT
Practice Address - State:NH
Practice Address - Zip Code:03106-2603
Practice Address - Country:US
Practice Address - Phone:603-824-3555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-08
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCC13776101YP2500X
NHLMFT322106H00000X
CA133102106H00000X
NHLCMHC2740101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist