| Nicole Sublette Counseling Services Llc | |
|
66 Hanover St Ste 200 Manchester NH 03101-2230 | |
| (603) 787-3140 | |
| Not Available |
| Full Name | Nicole Sublette Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 66 Hanover St Ste 200, Manchester, New Hampshire |
| Authorized Official Name and Position | Nicole Sublette (OWNER) |
| Authorized Official Contact | 6037873151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Sublette Counseling Services Llc 66 Hanover St Ste 200 Manchester NH 03101-2230 Ph: (603) 787-3140 | Nicole Sublette Counseling Services Llc 66 Hanover St Ste 200 Manchester NH 03101-2230 Ph: (603) 787-3140 |
| NPI Number | 1598510364 |
|---|---|
| Provider Enumeration Date | 04/23/2024 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Medicare PECOS PAC ID | 3274067327 |
|---|---|
| Medicare Enrollment ID | O20241112001116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598510364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Nicole Sublette |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639591852 PECOS PAC ID: 5092249144 Enrollment ID: I20241112001368 |
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