MEDICARE: JAMES CABANEL LCMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	411	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	14Y001175NH01	OTHER	NH	BLUE CROSS
2	2078516	OTHER	NH	CIGNA
3	020258994-15	OTHER	NH	HARVARD PILGRIM

General Provider Information

NPI Number	:	1265519763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES CABANEL LCMHC

Provider Business Mailing Address
First Line	:	PO BOX 2032
Second Line	:
City	:	CONCORD
State	:	NH
Zip	:	03302-2032
Country	:	US
Telephone Number	:	603-226-7505
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 PLEASANT ST
Second Line	:
City	:	CONCORD
State	:	NH
Zip	:	03301-4006
Country	:	US
Telephone Number	:	603-226-7505
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	08/25/2020

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