Provider Demographics
NPI:1306132519
Name:CAREY, ALLISON VIOLET (LMFT, LFYP-1)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:VIOLET
Last Name:CAREY
Suffix:
Gender:F
Credentials:LMFT, LFYP-1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 EMERALD ST # 102
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-3626
Mailing Address - Country:US
Mailing Address - Phone:603-903-1414
Mailing Address - Fax:833-693-0222
Practice Address - Street 1:63 EMERALD ST # 102
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3626
Practice Address - Country:US
Practice Address - Phone:603-903-1414
Practice Address - Fax:833-693-0222
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-26
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH140106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3071921Medicaid