DR. JEANNINE PABLO (NPI# 1093002669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093002669 |
| Entity Type | Individual |
| Full Name | DR. JEANNINE PABLO |
| Credential | LP, LCMHC, MLADC |
| Practice Address |
713 Chestnut St Manchester NH 03104-3002 |
| Practice Telephone | 6036689900 |
| Practice Fax Number | 6036689922 |
| Mailing Telephone | 6036689900 |
| Mailing Fax Number | 6036689922 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0694 | NH | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
904 | NH | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
00011 | NH | Behavioral Health & Social Service Providers |
| Street Address |
713 CHESTNUT ST |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881845519 | 713 Chestnut Street Counseling, LLC | Counselor | 713 Chestnut St, Manchester, NH 03104 | 2008-09-30 |
| 1134674286 | Shannon Hebert | Counselor | 713 Chestnut St, Manchester, NH 03104-3002 | 2016-08-18 |
| 1629468921 | Exploration of The Mind Counseling, LLC | Counselor | 713 Chestnut St, Manchester, NH 03104-3002 | 2015-01-26 |
| 1851618763 | Kristen Lynn Walker | Counselor | 713 Chestnut St, Manchester, NH 03104-3002 | 2010-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
| 1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
| 1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
| 1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
| 1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
| 1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
| 1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
| Find all providers in zip 03104 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245552066 | Frederick Neff | Psychologist | 15 Woodholm Rd, Manchester, MA 01944-1041 | 2010-02-21 |
| 1417281064 | Shannon Jackson | Psychologist | 150 North Main St, Echn Health Services, Manchester, CT 06040-4188 | 2009-09-30 |
| 1871730390 | Scott Jerauld Adams | Psychologist | 250 Commercial St Ste 3004, Manchester, NH 03101 | 2009-01-21 |
| 1003071275 | Wandembergh Mental Health Services, LLC | Psychologist | 206 Wells St, Manchester, CT 06040-6152 | 2008-07-27 |
| 1881851939 | David G. Kamen, Ph.d., P.C. | Psychologist | 23 W Webster St, Manchester, NH 03104-2913 | 2008-05-16 |
| 1093907917 | Steven Bonanno | Psychologist | 241 New State Rd Apt F, Manchester, CT 06042-7937 | 2007-08-14 |
| 1376753814 | Stephanie P. Morgan | Psychologist | 3 Ledgewood Cir, Manchester, MA 01944-1261 | 2007-05-23 |
| 1902952765 | Heidie Vazquez-garcia | Psychologist | 3855 Main St, Manchester, VT 05254 | 2007-01-26 |
| 1811082381 | Laurie C Geck | Psychologist | 1555 Elm Street, Manchester, NH 03101-1203 | 2006-10-03 |
| 1386740744 | Calvin R. Genzel | Psychologist | Pastoral Counseling Services, 2013 Elm Street, Manchester, NH 03104 | 2006-09-15 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03104 |
Please comment or provide details below to improve the information on DR. JEANNINE PABLO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.