Provider Demographics
NPI:1144971367
Name:TERRY, ERIN D (LCMHC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:D
Last Name:TERRY
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:PO BOX 445
Mailing Address - Street 2:
Mailing Address - City:SUNAPEE
Mailing Address - State:NH
Mailing Address - Zip Code:03782-0445
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:HANSEN CHASE RD.
Practice Address - Street 2:
Practice Address - City:SUNAPEE
Practice Address - State:NH
Practice Address - Zip Code:03782-0378
Practice Address - Country:US
Practice Address - Phone:160-372-4137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-11
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH878101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health