Basic Information
| Provider Information | |||||||||
| NPI: | 1801275664 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GENDREAU | ||||||||
| FirstName: | PAUL | ||||||||
| MiddleName: | |||||||||
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| Credential: | MS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 53 KENDALL ST | ||||||||
| Address2: | |||||||||
| City: | FRANKLIN | ||||||||
| State: | NH | ||||||||
| PostalCode: | 032351413 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 53 KENDALL ST | ||||||||
| Address2: | |||||||||
| City: | FRANKLIN | ||||||||
| State: | NH | ||||||||
| PostalCode: | 032351413 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6039343400 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/27/2015 | ||||||||
| LastUpdateDate: | 10/21/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/21/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.