Provider Demographics
NPI:1629551338
Name:LAMALFA, DEBRA (LCMHC)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:LAMALFA
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:
Other - Last Name:LAMALFA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCMHC,
Mailing Address - Street 1:2013 ELM ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-2528
Mailing Address - Country:US
Mailing Address - Phone:603-627-2702
Mailing Address - Fax:
Practice Address - Street 1:46 LOWELL RD STE 7
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087-1856
Practice Address - Country:US
Practice Address - Phone:603-620-7177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-09
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
NH2069101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health