Individual
JEANETTE GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
401 CYPRESS ST, MANCHESTER, NH 03103-3628
(603) 668-4111
Mailing address
401 CYPRESS ST, MANCHESTER, NH 03103-3628
(603) 668-4111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
35
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020258994-41
HARVARD PILGRIM
NH
01
—
14Y001176NH01
BLUE CROSS
NH
01
—
2083696
CIGNA
NH
Enumeration date
11/06/2006
Last updated
07/08/2007
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