Provider Demographics
NPI:1720718844
Name:DESPINS, CATHRYN ANN (LADC)
Entity Type:Individual
Prefix:MS
First Name:CATHRYN
Middle Name:ANN
Last Name:DESPINS
Suffix:
Gender:F
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:TILTON
Mailing Address - State:NH
Mailing Address - Zip Code:03276-5517
Mailing Address - Country:US
Mailing Address - Phone:603-707-6144
Mailing Address - Fax:
Practice Address - Street 1:880 CENTRAL ST STE 10
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NH
Practice Address - Zip Code:03235-2040
Practice Address - Country:US
Practice Address - Phone:603-671-3215
Practice Address - Fax:603-671-7065
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1216101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)