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NPI 1881845519 · live from the CMS NPI Registry

713 Chestnut Street Counseling, LLC

Counselor, Mental Health in Manchester, NH. National Provider Identifier 1881845519, active.

NPI record

NPI1881845519 Type 2 · organization
StatusActive
Primary specialtyCounselor, Mental Health 101YM0800X
Practice location713 Chestnut St, Manchester, NH 03104
Practice phone603-668-9900
EnumeratedSeptember 30, 2008
Last updatedFebruary 28, 2012
Authorized officialJeannine Pablo-Ferrante, President

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Addiction (Substance Use Disorder)101YA0400X— (NH)
Counselor, Mental Health primary101YM0800X904 (NH)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.