Nicole Marie Mancino, LCMC, LCMHC | |
21 Quail Run, New London, NH 03257-5871 | |
(908) 917-6990 | |
Not Available |
Full Name | Nicole Marie Mancino |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 21 Quail Run, New London, New Hampshire |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831958750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 2776 (New Hampshire) | Secondary |
101YM0800X | Counselor - Mental Health | 068.0135622 (Vermont) | Primary |
Entity Name | Supportive Care Of New Hampshire Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013657618 PECOS PAC ID: 9133506272 Enrollment ID: O20220511001843 |
Mailing Address | Practice Location Address |
---|---|
Nicole Marie Mancino, LCMC, LCMHC 21 Quail Run, New London, NH 03257-5871 Ph: (908) 917-6990 | Nicole Marie Mancino, LCMC, LCMHC 21 Quail Run, New London, NH 03257-5871 Ph: (908) 917-6990 |
David L Pelletier, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 35 Newport Rd, New London, NH 03257 Phone: 603-865-1321 Fax: 603-865-1327 | |
James Bernard Esposito, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 35 Newport Rd, New London, NH 03257 Phone: 603-865-1321 Fax: 603-865-1327 | |
Aimee Y Tucker, MLADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Newport Rd, New London, NH 03257 Phone: 603-865-1327 | |
Eva H Johnson, MLADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Newport Rd, New London, NH 03257 Phone: 603-865-1321 Fax: 603-865-1327 | |
Kara Flynn Kidder, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 370 Main Street, New London, NH 03257 Phone: 603-526-4230 Fax: 603-526-6261 | |
Bruce Alexander Magoon, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 370 Main St, New London, NH 03256 Phone: 603-526-4230 | |
Ms. Kelley M Rambo, LSCSW, LPC, LCAC Counselor Medicare: Medicare Enrolled Practice Location: 35 Newport Rd, New London, NH 03257 Phone: 603-865-1321 Fax: 603-865-1327 |