Provider Demographics
NPI:1700430097
Name:FIELER, MARY M (LCMHC)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:M
Last Name:FIELER
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 1:12 FREEMAN HALL RD
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03290-6200
Mailing Address - Country:US
Mailing Address - Phone:603-498-9244
Mailing Address - Fax:
Practice Address - Street 1:1 LIBERTY LN E STE 103
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-1840
Practice Address - Country:US
Practice Address - Phone:603-758-1728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-25
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2076101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor