Provider Demographics
NPI:1508315912
Name:VERDERAME, MARGARET ANNE (LCMHC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANNE
Last Name:VERDERAME
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:M
Other - Middle Name:ANNA
Other - Last Name:VERDERAME
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCMHC
Mailing Address - Street 1:1 BARBERRY LN
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-2417
Mailing Address - Country:US
Mailing Address - Phone:617-819-0914
Mailing Address - Fax:603-628-7757
Practice Address - Street 1:1 BARBERRY LN
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2417
Practice Address - Country:US
Practice Address - Phone:617-819-0914
Practice Address - Fax:603-628-7757
Is Sole Proprietor?:No
Enumeration Date:2016-09-27
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1091101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health