Pastoral Counseling Services-united Church Of Christ, Inc. | |
2013 Elm St Manning House Manchester NH 03104-2528 | |
(603) 627-2702 | |
(603) 627-3543 |
Full Name | Pastoral Counseling Services-united Church Of Christ, Inc. |
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Speciality | Clinic/Center |
Location | 2013 Elm St, Manchester, New Hampshire |
Authorized Official Name and Position | David B Reynolds (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6036272702 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pastoral Counseling Services-united Church Of Christ, Inc. 2013 Elm St Manning House Manchester NH 03104-2528 Ph: (603) 627-2702 | Pastoral Counseling Services-united Church Of Christ, Inc. 2013 Elm St Manning House Manchester NH 03104-2528 Ph: (603) 627-2702 |
NPI Number | 1306934757 |
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Provider Enumeration Date | 10/11/2006 |
Last Update Date | 01/08/2015 |
Medicare PECOS PAC ID | 2567442627 |
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Medicare Enrollment ID | O20040721000465 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306934757 | NPI | - | NPPES |
3075562 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
Provider Name | Kathleen M Regan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619252368 PECOS PAC ID: 4486648607 Enrollment ID: I20040412000806 |
Provider Name | Audrey A Watjen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225081409 PECOS PAC ID: 8820062292 Enrollment ID: I20040823000144 |
Provider Name | Carol Lee Hart |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063449098 PECOS PAC ID: 5092612853 Enrollment ID: I20050720000760 |
Provider Name | Calvin R Genzel |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1386740744 PECOS PAC ID: 0345266888 Enrollment ID: I20060125000228 |
Provider Name | Emily B Geoghegan |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1477636546 PECOS PAC ID: 6709892227 Enrollment ID: I20060221000649 |
Provider Name | Susan M Gordon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730522913 PECOS PAC ID: 9931343795 Enrollment ID: I20130917000337 |
Provider Name | Sarah A Duffley |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316371388 PECOS PAC ID: 8123254414 Enrollment ID: I20131114001353 |
Provider Name | Melissa M Grudinski |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235618703 PECOS PAC ID: 4284985474 Enrollment ID: I20180927001422 |
Provider Name | Marissa L Labbe |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1811537889 PECOS PAC ID: 8921435702 Enrollment ID: I20200218001427 |
Provider Name | Jennifer Bernet |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306391909 PECOS PAC ID: 5395172316 Enrollment ID: I20200303001634 |
Provider Name | Christina Rackliffe |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548995335 PECOS PAC ID: 3375927874 Enrollment ID: I20220901001585 |
Provider Name | Robert Allosso |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1578259933 PECOS PAC ID: 1254798036 Enrollment ID: I20230609001649 |
Provider Name | Jillian M Pelchat |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518647254 PECOS PAC ID: 4789047937 Enrollment ID: I20230906000472 |
Provider Name | Judith F Kollmorgen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952081176 PECOS PAC ID: 3476916651 Enrollment ID: I20230906001440 |
Provider Name | Sarah Merrigan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497003313 PECOS PAC ID: 1759739840 Enrollment ID: I20231130000449 |
Provider Name | Juliane L Mcgovern |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1124400999 PECOS PAC ID: 2961845383 Enrollment ID: I20240213000894 |
Provider Name | Kevin Longo |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1285757930 PECOS PAC ID: 4183067564 Enrollment ID: I20240213003088 |
Provider Name | Kenneth Robertson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1508405515 PECOS PAC ID: 5395180137 Enrollment ID: I20240301003588 |
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