Provider Demographics
NPI:1427170257
Name:NAFF, DEBRA M (LCMHC)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:M
Last Name:NAFF
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1904
Mailing Address - Country:US
Mailing Address - Phone:603-624-4717
Mailing Address - Fax:603-624-4736
Practice Address - Street 1:215 MYRTLE ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-4354
Practice Address - Country:US
Practice Address - Phone:603-668-0014
Practice Address - Fax:603-623-7676
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH224101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH14Y000929NH01OtherWELLPOINT BHN
NH5395849OtherUBH PACIFICARE
VT1011853OtherVT MEDICAID
NH11656408OtherCAQH
NH30011348Medicaid
NH1047071OtherCIGNA