Healthcare Provider Details

I. General information

NPI: 1649583758
Provider Name (Legal Business Name): CELINE JALBERT COMPASS COUNSELING,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2010
Last Update Date: 10/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 NORTHEASTERN BLVD UNIT 240A
NASHUA NH
03062-3139
US

IV. Provider business mailing address

11 NORTHEASTERN BLVD UNIT 240A
NASHUA NH
03062-3139
US

V. Phone/Fax

Practice location:
  • Phone: 603-816-1660
  • Fax: 603-816-1661
Mailing address:
  • Phone: 603-816-1660
  • Fax: 603-816-1661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0852
License Number StateNH
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number762
License Number StateNH

VIII. Authorized Official

Name: MS. CELINE PROVENCHER JALBERT
Title or Position: OWNER
Credential: LCMHC & MLADC
Phone: 603-867-2757