Meet Our Providers

Michael Watto, DO

Dr Watto, DO, MPH, joined HealthFirst in February 2023 and serves as their Chief Medical Officer. Dr. Watto provides primary and osteopathic care to patients in both the Laconia and Franklin HealthFirst locations. Dr. Watto has an extensive medical and military background. Certified by the American Board of Family Medicine, he completed his residency training at Martin Army Community Hospital, Fort Benning, Georgia. Dr. Watto completed his medical education at Kansas City University of Medicine and Biosciences, where he received his DO degree in Osteopathic Medicine. He has also earned a master’s degree in public health from the University of Texas Medical Branch, Galveston, Texas, and a Bachelor of Science degree from Penn State University. Dr. Watto spent more than 20 years in the US Army serving in a variety of roles as a physician leader. Highlights include his service as a flight surgeon, a deployment to Iraq, and providing medical care and ringside coverage to the All-Army Boxing team.

Michael and his family have lived in central NH for nearly a decade where he has worked at Speare Primary Care in Plymouth, NH since 2015 specializing in family medicine. He has held the position of Medical Staff President at Speare Memorial Hospital as well as Director of Health Services at Plymouth State University. Dr. Watto was recently honored as a “Top Doctor 2022” by New Hampshire Magazine. Other notable achievements include his selection as Franklin Pierce University Clinical Preceptor of the Year, earning the US Army Combat Medical Badge and being named a Distinguished Military Graduate.

An osteopathic medicine (DO) doctor differs from a medical doctor in that they use the same conventional medical techniques as MDs but with a few other methods. They bring a unique, patient-centered approach to every specialty across the full spectrum of medicine. They are trained to listen and partner with their patients to help them get healthy and stay well.

Eleanor “Nora” Janeway, MD

Dr. Eleanor “Nora” Janeway has been a primary care doctor since 1993. She graduated from the University of California School of Medicine and did her residency in Internal Medicine at The Cambridge Hospital in Massachusetts. She worked for 23 years at a neighborhood health center where she trained junior doctors in Internal Medicine and was a Harvard Medical School Clinical Instructor in Medicine. Dr. Janeway’s medical interests include safe and appropriate prescribing, treatment of Hepatitis C, care of elders, treatment of addiction, and women’s health care. Dr. Janeway sees patients aged 16 and older. She is fluent in Spanish and English. Dr. Janeway served as HealthFirst’s medical director from 2018 to January 2023. Dr. Janeway is the fifth generation of Janeway physicians. She lives in western NH, and when she is not seeing patients, she is planting her garden or clearing trails.

Dr. Elise Wojcik, DO

Dr. Elise Wojcik, DO, is a board-certified Internal Medicine Physician with specialty training in Geriatric Medicine. She earned her osteopathic medicine doctorate from the University of New England in Biddeford, Maine. She completed her Internal Medicine training at Ascension Genesys Hospital in Grand Blanc, MI, and her Geriatrics Fellowship at Beaumont Hospital in Royal Oak, MI. Although she was born and raised in Wisconsin, she met her husband in Maine and decided to make New England her home. She is excited to be at HealthFirst where she can provide quality medical care for her new neighbors.

Nick Croce, DO

Dr. Croce, DO, is a board-certified Family Medicine Physician who received his Doctor of Osteopathic Medicine from the University of New England in Biddeford, ME, and after that graduated from the University of Massachusetts Worcester Family Medicine Residency Program.

Dr. Croce offers a humanistic approach to preventative care, management of chronic medical conditions, treatment of acute conditions, and performing office-based procedures. He also practices Osteopathic Manipulative Treatment (OMT). This hands-on procedure considers the interconnectedness of the body’s systems to help treat many common conditions, including musculoskeletal pain, headaches, constipation, sports injuries, sinus problems, pregnancy-related pain, and more.

Dr. Croce is not just a professional but also a family man who values quality time with his loved ones. He enjoys exploring local hikes and playing basketball with his wife and kids. His eagerness to join the HealthFirst community and build enduring relationships with his patients is palpable.

Lisa Baker, PA-C

Lisa Baker, PA-C, is a Physician Assistant with 30 years of experience as a primary care provider. Lisa graduated from Northeastern University Physician Assistant program in 1993, also earning a master’s degree in health professions. After graduating she went to work in Snow Hill, North Carolina, working in a community health center through the National Health Service Corps. She was there for five years when she and her family decided it was time to come back home. She then went to work in Lincoln, NH, where she spent the next 18+ years working in a family practice setting. Lisa then moved to Speare Primary Care where she had worked for the last five years. Lisa enjoys being a ‘family provider’ and seeing multi generations of families. Lisa treats patients ages 13 years and older. She manages routine and complicated health care needs and places emphasis on relationships with patients to look at all aspects of their life, not just their medical conditions. Lisa is excited to be joining the HealthFirst care team.

Richard Young, APRN

Richard Young, APRN, graduated from Bethel College in St. Paul, MN, with a Bachelor’s in Nursing. After graduation, he became a commissioned officer in the US Public Health Service. He was subsequently deployed to provide nursing care to federal prison inmates in Rochester, MN, and also to Alaska Natives in Kotzebue, Alaska.
While working in the small rural hospital above the Arctic Circle in Northwestern Alaska, that Rich discovered his passion for the nurse practitioner role. Due to the isolation of the hospital in rural Alaska, he was required to work in several different nursing roles, including pediatric nursing, ER nursing, medevac nursing, med-surgical and obstetrical nursing. Rich enrolled in the Family Nurse Practitioner program at the University of New Mexico, graduating in 1998 with a Master of Science in Nursing. Rich believes the most important skill of a family nurse practitioner is to be an excellent listener who helps to facilitate the development of the FNP and patient relationship which is the heart of Primary Care. Rich brings a lot of experience in family practice medicine such as chronic conditions management including diabetes, high blood pressure, and asthma.

 Alyssa Albro, APRN

Alyssa Albro, APRN, received her undergraduate degree from Brandeis University in 2013. She was then fortunate to be granted a research internship at New Hampshire Oncology and Hematology which provided her invaluable insight into the importance of holistic care. Alyssa earned her Master of Science in Nursing in 2018 and recently completed the Family Nurse Practitioner Program at the University of New Hampshire. She has spent the past 4 years working in the hospital setting at a Level 2 Trauma Center. Most recently, Alyssa worked as a Clinical Nurse Coordinator promoting best practices and advocating for the needs of all patients. She provides thorough and compassionate care, recognizing the importance of the physical, emotional, social, and spiritual factors that shape every individual. As a Nurse Practitioner, Alyssa believes in the importance of patient empowerment and will work with patients of every age to set reasonable and attainable goals throughout their health journey.

Carly Rose Burke, APRN

Carly Burke, APRN, is a Family Nurse Practitioner who received her diploma in nursing at Saint Joseph School of Nursing in North Providence, RI, and her undergraduate and masters nursing degree at Northeastern University in Boston, MA. She is board-certified by the American Association of Nurse Practitioners. In her last 10 years working as an APRN, she has worked in adult medicine, with a clinical interest in adult primary care, gerontology, and palliative care. In Carly’s free time, she enjoys spending time with family, hiking, and photography. HealthFirst welcomes Carly to its team of caring providers.

Megan Lewis, APRN

Megan Lewis, APRN, is a Family Nurse Practitioner practicing in Laconia. Megan will be offering a new and greatly needed role at HealthFirst by seeing patients with same-day, acute care needs. As a Lakes Region native, Megan began her healthcare career as an EMS provider and continued her journey by earning her Associate Degree in Nursing from LRCC in 2018. She earned her BSN from Palm Beach Atlantic University in 2019 and her MSN from Frontier Nursing University in 2023. Prior to becoming a Nurse Practitioner, she was a Registered Nurse at LRGH’s Orthopedic Unit, and most recently worked at Concord Hospital’s Emergency Department. Working in the back of ambulances, to hospital bedsides, to busy emergency departments, Megan is experienced in treating patients in a variety of circumstances. Megan is looking forward to offering care to the Lakes Region community as HealthFirst’s new same-day provider.

Isabel Watts, APRN

Isabel is a Family Nurse Practitioner who received her BSN and MSN from Massachusetts General Hospital Institute of Health Professions. She completed a fellowship in community health and family medicine at Lamprey Health Care in Newmarket, NH. Isabel is passionate about preventative medicine and patient centered care. As a family nurse practitioner, Isabel enjoys taking care of patients across the lifespan, and supporting whole families in care decisions. In her free time, she enjoys cooking, hiking, spending time with her family and playing with her baby.

“I love nursing because it combines compassionate care with scientific thinking and problem-solving. I enjoy building collaborative relationships with patients and making them feel heard, believed, and supported.”

Jennifer Tichich, APRN

Jennifer Tichich, APRN, graduated with honors from the University of New Hampshire with a Bachelor of Science in Nursing degree. She worked in acute care as a Registered Nurse before pursuing a Master of Science in Nursing at the University of Colorado Health Sciences Center. She graduated Summa Cum Laude from the Adult Nurse Practitioner Program. She is board-certified as an Adult Nurse Practitioner through the ANCC. Prior to joining HealthFirst, she worked in Pain Management, Primary Care, Long-term care, and Occupational Medicine. In her spare time, she enjoys spending time with her family outdoors. They are avid hikers in the New Hampshire mountains and their faithful canine companion Molly, a Kolu Husky, enthusiastically leads each hike!

Kimberly Fader, APRN

Kimberly Fader, APRN, is a Family Nurse Practitioner with extensive experience providing care to patients of all ages. Since 2007, she has served as a primary care provider at a Federally Qualified Health Center, where she has developed expertise in preventative care, acute visits, and chronic condition management. Kimberly values the diversity of primary care and takes pride in partnering with patients to help them achieve their healthcare goals.

She began her nursing career in the Boston area and became a certified nurse practitioner before returning to her home in central New Hampshire. Passionate about the outdoors, Kimberly enjoys a variety of outdoor activities and is grateful to live and work near the lakes and mountains she loves.

Victoria Nichols, APRN

Vicki started her healthcare career as an LNA, which she obtained through the vocational tech program at Concord High School. Once she graduated from high school, she continued working as an LNA while obtaining her Associate’s degree in nursing from NHTI-Concord in 2012. After completing her associate’s degree, she immediately went on to obtain her bachelor’s Degree in nursing through Rivier University, graduating in 2014. She has worked in various healthcare settings, including long-term care and skilled nursing facilities, where she has held leadership positions such as Director of Nursing and Chief Clinical Officer.

She recently graduated with high honors from Saint Joseph’s College of Maine with her Master’s degree, with a concentration in Family Nurse Practitioner. While caring for the geriatric population is a passion for her, she also enjoys caring for all ages and looks forward to providing care to our population. Vicki believes that listening to patients and understanding their challenges and strengths is crucial for providing thorough care and helping them reach their health goals.

Ashley Douthart, LCMHC, MLADC

Ashley Douthart, LCMHC, MLADC,is a Licensed Clinical Mental Health Counselor and the Behavioral Health Director at HealthFirst. She received her Bachelor of Arts degree in Psychology from Colby-Sawyer College. She then received her Master of Science in Clinical Mental Health Counseling from Walden University. Ashley joined the Behavioral Health staff at HealthFirst as an intern in 2013 and then became a full-time employee after completing her master’s program in 2014. While she is credentialed and licensed to work with clients of all ages, she enjoys supporting children and adolescents, and helping those clients with substance abuse disorders find treatment and enter recovery. Ashley is also nationally rostered in Child-Parent Psychotherapy (CPP), a therapeutic model designed to work with children and families who have been exposed to trauma. She is a Clinical Supervisor with the CPP Network and a Board Approved Clinical Supervisor with the State of NH. Ashley has developed and launched a successful school-based counseling program in five local school districts and is passionate about helping those in the most need. Her dream for behavioral health would be to create future programming for a school-based health center.

Julianna Slark, LMFT

Julianna Slark, LMFT, is a licensed Marriage and Family Therapist. She earned her Bachelor’s degree in Psychology from Keene State College in 2013 and completed her Master’s degree in Marriage and Family Therapy from Central Connecticut State University in 2016. Julianna has experience working with people of all ages and has a passion for addressing trauma, depression, grief, anxiety, life transitions, and interpersonal relationships. While she is trained in Trauma-Focused Cognitive Behavior Therapy (TF-CBT) and Dialectical Behavior Therapy (DBT), she uses an integrative approach of various models of therapy to tailor treatment to meet the needs of her clients. Julianna uses a compassionate, non-judgmental approach to engage her clients and believes that progress in therapy is rooted in a strong foundational therapeutic relationship. In her time away from work, Julianna enjoys spending time with family, listening to music, singing, watching sunsets at the lake, and going for walks.

Kristyn Adler, LICSW

Kristyn Adler, LICSW, is a licensed independent clinical social worker who obtained her bachelor’s and master’s degrees in social work and psychology at the University of Vermont. After completing her studies, she remained in VT working with disadvantaged youth and families, gaining experience in therapeutic foster care, crisis intervention, residential treatment, intensive community-based wraparound services, juvenile detention, and school-based environments. As a certified Lifeguard Instructor, she enjoys bringing her training in therapeutic and adaptive swimming into her clinical work. Driven by her passion for serving survivors of significant adversity, she received comprehensive training in eye movement desensitization and reprocessing therapy (EMDR) and has remained involved in VT’s Human Trafficking Workgroup for the last several years. Kristyn brings both playfulness and compassion into her work and strives to create genuine, warm, and supportive connections with those she serves. In her downtime, she enjoys swimming, spending time with her family on Lake Winnipesaukee, crafting, attending concerts, and playing with her two Havanese pups.

Courtney Clairmont, LMFT

Courtney Clairmont, is a Licensed Marriage and Family Therapist (LMFT) at HealthFirst, working at both the Franklin and Laconia locations and providing school-based services. She holds both a Bachelor of Science degree in Human Development and Family Studies and a Master of Science degree in Marriage and Family Therapy from the University of New Hampshire. Her training included internships supporting survivors of domestic violence, as well as working with individuals, families, and children in a community mental health setting. Courtney employs an integrative, client-centered, and strength-based approach, collaborating with clients in a safe, non-judgmental space to meet their unique needs and empower them toward their goals. Her practice focuses on supporting adults of all ages with self-care, identity, life transitions, and interpersonal relationships. Beyond her clinical work, Courtney serves as the School-Based Program Coordinator. In this role, she collaborates with 6 local school districts to support HealthFirst clinicians providing therapy in the schools. When she is not in the office, Courtney enjoys spending time with friends and family on the lake, traveling, scrapbooking, and cooking.

Laura Walker, LCMHC, EMDRIA, CPP

Laura Walker, LCMHC, EMDRIA, CPP, is a Behavioral Health Specialist who received her Bachelor of Arts degree in Education from Michigan State University. She went on to become a Certified Holistic Health Coach, specializing in clean eating, diet management, and overall wellness. She received her Master of Science degree from Plymouth State University with certificates in Addictions Treatment and Personal Approaches to Transformation and Healing. Laura is currently nationally rostered to offer Child and Parent Psychotherapy, an evidence-based family trauma recovery model, as well as Eye Movement Desensitization and Reprocessing (EMDR) therapy to assist with healing. She is credentialed to work with clients of all ages, and her practice focuses on trauma-informed treatment to address anxiety and depression, as well as issues related to self-esteem, self-care, emotional self-regulation, coping strategies, cognitive flexibility, interpersonal relationships, and life transitions. Laura uses an eclectic approach, drawing from a variety of theoretical models to meet client’s diverse needs. In a safe, compassionate, and non-judgmental space, she will work collaboratively with clients to help identify what’s holding them back. In addition to her clinical work, Laura acts as the Intern Coordinator, assisting and managing the internship program for incoming counselors. Laura works in both the Laconia and Franklin offices of HealthFirst. Laura is a proud mom of a talented teenager, and she enjoys reading, writing, delighting in time outdoors, playing cards, volunteering at her son’s sporting events, and spending time with family.

Dustin Bousquin, LCMHC

Dustin Bousquin, LCMHC, is a Behavioral Health Specialist who received his Bachelor of Science in Psychology, with a concentration in Mental Health, from Plymouth State University. Dustin then went on to complete his Master of Science in Clinical Mental Health Counseling from Plymouth State University. Dustin takes an integrated approach when treating his patients, pulling from different modalities that include CBT, DBT and a client centered approach, working with his patients to form an individualized treatment plan to fit a wide array of needs. While Dustin enjoys working with kids and teens, his diverse skill set and qualifications allow him to work with anyone to help them achieve their mental-health goals. When not working, Dustin enjoys camping, spending time with friends and his cat, hiking, reading, and spending time by the lake.

Lydia Butner, LCMHC

Lydia is a Licensed Clinical Mental Health Counselor and has been a part-time provider with HealthFirst’s School-Based Services team since August 2024. Prior to this, Lydia spent 7 years providing clinical mental health care in community mental health, college, and private practice settings in rural Kansas. She received her bachelor’s in English from the University of North Carolina Chapel Hill and a Master of Arts-Mental Health Counseling from Trinity International University. She has received training in play therapy, trauma care, and cognitive behavioral therapy. Lydia engages clients with a relaxed, curious, and creative style while remaining focused on helping clients build their knowledge of themselves and gain tools to help them resolve struggles and process stressors. In her time away from work, Lydia enjoys time outside with her family, game nights with friends, and baking gluten-free desserts.

Evika Toth, MS, MFT

Evika Toth, MFT is a Marriage and Family Therapist dedicated to helping individuals, couples, and families navigate life’s challenges and build healthier, more fulfilling lives. She earned her Bachelor of Arts degree in English from Plymouth State University in 2023 and her Master of Science in Marriage and Family Therapy from Plymouth State University in 2025. Evika works with adults with a variety of concerns, but has a particular passion for supporting women as they navigate anxiety, life transitions, stress, and the demands of everyday life. She has a special interest in wellness and the connection between mental health, nutrition, and physical health, taking a holistic approach that recognizes the relationship between emotional and physical well-being. Using narrative and strengths-based approaches, Evika tailors therapy to each client’s unique experiences, goals, and strengths, creating a supportive space for growth, healing, and lasting change. Evika believes in meeting clients where they are, creating a compassionate, collaborative environment that encourages growth, resilience, and healing. Evika offers both in-person and virtual sessions, providing flexibility and accessibility for clients. Outside the therapy room, she enjoys spending time with her cats, reading, and exploring the outdoors.

Megan Coleman, MSW

Megan Coleman, MSW, is a social worker dedicated to improving the mental health and overall well-being of the people she serves. Megan received her Bachelor’s degree in Social Work from Plymouth State University. Following her graduation, she began working in a residential treatment facility for adolescent boys with complex trauma and behavioral issues. During this time, she pursued her Master’s in Social Work from the University of New England. Megan’s time in residential treatment made her realize the importance of looking at the individual holistically, as she was able to witness firsthand the effects one’s mental health can have on their day-to-day life. Though she is open to working with people of all ages, this early experience in the field highlighted her passion for working with adolescents and young adults.

Megan likes to look at life from a bird’s-eye view, rooting her practice in the Person-in-Environment theory. Megan considers all factors that contribute to the whole picture of one’s life when working with clients. She brings a calm, inquisitive, and collaborative energy to her sessions. She believes in resiliency and tapping into the strengths that already exist in one’s life to build upon them from there. In her free time, she enjoys consuming all things pop culture, tending to her houseplant collection, enjoying time in the beautiful Lakes Region, and most of all, spending time with her cats.

Kristen Forge, CMHC, LCHW

Kristen Forge is a pre-licensed Clinical Mental Health Counselor with HealthFirst Family Care, providing services in both outpatient and school-based settings. She holds a Master of Arts in Clinical Mental Health Counseling and a Master of Science in Forensic Psychology from Southern New Hampshire University. She earned her bachelor’s degree in psychology from Keene State College, along with an associate degree in chemical dependency.

Kristen has a clinical interest in mood disorders and works with children, adolescents, and specialized populations. She utilizes Cognitive Behavioral Therapy (CBT) within a trauma-informed framework and has experience in crisis management, psychoeducation, and community-based interventions, including work with both adult and adolescent populations in correctional and pre-sentencing settings.

In her current role, Kristen provides services to clients across the lifespan, collaborating with schools, families, and interdisciplinary teams to support individuals in both academic and clinical environments. She is committed to fostering resilience, building strong therapeutic relationships, and helping clients develop effective coping strategies.

Outside of her professional role, Kristen enjoys spending time outdoors with her family, including fishing, camping, and exploring new places, as well as reading and watching true crime documentaries.

Nancy Nemcovich, LADC

Nancy Nemcovich, LADC, has worked in the field of substance misuse for 34 years. She graduated from Keene State College with a BA in Psychology and NH Technical College with a certificate in Alcohol Counseling. Her career started in 1984 at Seminole Pole Hospital, a 28 Day Substance use treatment program in Sunapee, NH. During her career she has worked for the state of NH Multiple DWI Offender Program for 20 years, Concord Hospital Substance Use Services for 20 years, and with court ordered adolescents. She is currently working with Aware Recovery Care Program, an in-home addiction treatment program in NH through BC Insurance. She is also a member of the Tilton Rotary Club and is a Board Member for the Tilton Northfield Family Resource Center, and the Franklin Mayor’s Drug Task Force.

Cassie Tucker, PMHNP

Cassie Tucker is a Psychiatric-Mental Health Nurse Practitioner (PMHNP) who has been in the nursing field since 2007. She obtained her BSN and MSN from Grand Canyon University. Later, she obtained her post-grad degree at Rivier University and became a psychiatric mental health nurse practitioner. Cassie has worked in various fields within behavioral health, including inpatient, outpatient, substance abuse, and dual diagnosis. During her career, she discovered her passion for working with those struggling with substance abuse or dual-diagnosis patients. She utilizes a non-judgmental approach and supports patients wherever they are on their mental health journey. In Cassie’s free time, she enjoys working in her epic garden, hanging with her 3 dogs, and being with her family.

Laurie Terwilliger, RDN

Laurie Terwilliger, RDN, is a Registered Dietician Nutritionist working part-time at HealthFirst Family Care Center, Inc. Whether you are trying to manage a chronic disease or just want to lose weight and learn how to eat healthier, Laurie works with each individual to develop a personal diet plan that fits with his or her lifestyle. Laurie holds a Bachelor of Science degree in Zoology from San Diego State University and a Master of Science degree in Zoology from Washington State University. After working as a field biologist and science teacher, Laurie applied her extensive science background to the study of nutrition. She completed her dietetics coursework at the University of New Hampshire and was accepted into the Dietetic Internship Program at Keene State College where she gained practical experience in the clinical, community and food service fields of dietetics. Her special areas of interest are in diabetes education, geriatric nutrition, and promoting healthy food and eating patterns to prevent and/or manage chronic disease.