Provider Demographics
NPI:1114815073
Name:WALBRIDGE, ANNE KATHRYN (LCMHC)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:KATHRYN
Last Name:WALBRIDGE
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 1:1085 MARINE ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-6162
Mailing Address - Country:US
Mailing Address - Phone:603-732-6771
Mailing Address - Fax:
Practice Address - Street 1:141 UNION ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-5563
Practice Address - Country:US
Practice Address - Phone:603-625-0010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH5241101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health