Provider Demographics
NPI:1114578135
Name:GEORGES, ANGELA M (MS, LCMHC, MLADC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:M
Last Name:GEORGES
Suffix:
Gender:
Credentials:MS, LCMHC, MLADC
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:M
Other - Last Name:DUNHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LCMHC, MLADC
Mailing Address - Street 1:PO BOX 674
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-0674
Mailing Address - Country:US
Mailing Address - Phone:603-290-0971
Mailing Address - Fax:
Practice Address - Street 1:340 GRANITE ST FL 3
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-4000
Practice Address - Country:US
Practice Address - Phone:603-801-4714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-20
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 101YM0800X
NH1172101YA0400X
NH2496101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)