Individual
DR. JEANNINE PABLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP, LCMHC, MLADC
Contact information
Practice address
713 CHESTNUT ST, MANCHESTER, NH 03104-3002
(603) 668-9900
(603) 668-9922
Mailing address
713 CHESTNUT ST, MANCHESTER, NH 03104-3002
(603) 668-9900
(603) 668-9922
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0694
NH
101YM0800X
Mental Health Counselor
904
NH
103TC0700X
Clinical Psychologist
Primary
00011
NH
Other
Enumeration date
07/05/2011
Last updated
02/06/2020
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