Basic Information
| Provider Information | |||||||||
| NPI: | 1881892149 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BLISS-KAPLAN | ||||||||
| FirstName: | CYNTHIA | ||||||||
| MiddleName: | LEE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | MSW, LICSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 2032 | ||||||||
| Address2: | |||||||||
| City: | CONCORD | ||||||||
| State: | NH | ||||||||
| PostalCode: | 033022032 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6032267505 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2 E MAIN ST STE 2 | ||||||||
| Address2: | |||||||||
| City: | WARNER | ||||||||
| State: | NH | ||||||||
| PostalCode: | 03278 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6032267505 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2007 | ||||||||
| LastUpdateDate: | 02/01/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 2174 | NH | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.