Healthcare Provider Details

I. General information

NPI: 1891420360
Provider Name (Legal Business Name): JACQUELINE K. ALLMAN MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JACQUELINE PATRICIA KELK

II. Dates (important events)

Enumeration Date: 07/19/2022
Last Update Date: 08/10/2025
Certification Date: 08/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 BAPTIST HILL RD
CANTERBURY NH
03224-2509
US

IV. Provider business mailing address

305 BAPTIST HILL RD
CANTERBURY NH
03224-2509
US

V. Phone/Fax

Practice location:
  • Phone: 603-491-4306
  • Fax: 803-836-5004
Mailing address:
  • Phone: 603-491-4306
  • Fax: 803-836-5004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number097.0135345
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberTPMF1548
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number713
License Number StateNH
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMF7677
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: