Provider Demographics
NPI:1386974277
Name:CRESS, ADRIENNE A (MA, LCMHC)
Entity type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:A
Last Name:CRESS
Suffix:
Gender:F
Credentials:MA, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 REDDEN ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-2731
Mailing Address - Country:US
Mailing Address - Phone:603-892-0243
Mailing Address - Fax:
Practice Address - Street 1:152 COURT ST STE 2A
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4453
Practice Address - Country:US
Practice Address - Phone:603-892-0243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-28
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health