Individual
MISS JEANETTE LYNN NOGALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CAGS, LCMHC
Contact information
Practice address
85 MAIN ST, SUITE 1, PLYMOUTH, NH 03264-1500
(603) 568-8839
Mailing address
PO BOX 272, CAMPTON, NH 03223-0272
(603) 568-8839
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
911
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7706646Y0NH01
ANTHEM
NH
Enumeration date
11/30/2006
Last updated
09/07/2012
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