NPI 1124645767 · live from the CMS NPI Registry
Kylie Eyse Bancroft, MSW
Counselor, Mental Health in Candia, NH. National Provider Identifier 1124645767, active.
NPI record
| NPI | 1124645767 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 510 Old Candia Rd, Candia, NH 03034 |
| Practice phone | 603-810-0411 |
| Mailing address | 11 Bay Rd Apt 3, Newmarket, NH 03857 |
| Enumerated | June 30, 2020 |
| Last updated | November 1, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health primary | 101YM0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.