Doctor Name: | CHRISTINE O'MEARA DIAS |
NPI Number: | 1245353978 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCMHC |
License Number: | 647 |
Business Practice Address: | 2503 White Mountain Highway North Conway, NH - 03860 |
Business Phone Number: | 6033562324 |
Business Fax Number: | 6033567104 |
Mailing Address: | Po Box 401, NORTH CONWAY |
State: | NH |
Postal Code: | 038600401 |
Phone Number: | 6033562324 |
Fax Number: | 6033567104 |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 647 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |