MS. JEANETTE 'GI' INDOCCIO


Address: 330 Borthwick Ave, Suite # 111, Portsmouth, NH 03801-4174
Phone: 6038608645

MS. JEANETTE 'GI' INDOCCIO (NPI# 1871787960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871787960
Entity Type Individual
Full Name MS. JEANETTE 'GI' INDOCCIO
Other Name MRS. JEANETTE WHITE
Credential LCMHC
Practice Address 330 Borthwick Ave
Suite # 111
Portsmouth
NH 03801-4174
Practice Telephone 6038608645
Practice Fax Number 6033432172
Mailing Telephone 6038608645
Mailing Fax Number 6033432172
Enumeration Date 2007-08-31
Last Update Date 2007-08-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
681 NH Behavioral Health & Social Service Providers

Office Location

Street Address 330 BORTHWICK AVE
SUITE # 111
City PORTSMOUTH
State NH
Zip Code 03801-4174

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NPI Name Taxonomy Address Enumeration
1417955691 Charles J Gaudet Plastic Surgery 330 Borthwick Ave, Ste 206, Portsmouth, NH 03801-4174 2005-07-12
1760041784 Jaclyn Heather Johnston Physician Assistant 330 Borthwick Ave, Portsmouth, NH 03801-4174 2019-06-12
1215486097 Chelsey R Andrea Nurse Practitioner 330 Borthwick Ave, Suite 101, Portsmouth, NH 03801-4174 2016-09-22
1790231660 Shauna Nancy Sedler Nurse Practitioner 330 Borthwick Ave, Suite 111, Portsmouth, NH 03801-4174 2016-08-30
1376904409 Samantha Myers Nurse Practitioner 330 Borthwick Ave, Suite 205, Portsmouth, NH 03801-4174 2016-03-17
1497161228 Friendship City Acute Trauma LLC Surgery 330 Borthwick Ave, Ste 200, Portsmouth, NH 03801-4174 2014-07-01
1215354683 Seacoast Dermatology Pllc Dermatology 330 Borthwick Ave, Suite 303, Portsmouth, NH 03801-4174 2014-03-24
1174967509 Sarah E Vandeventer Physician Assistant 330 Borthwick Ave, Suite 301, Portsmouth, NH 03801-4174 2013-04-29
1316284599 Nancy K Charest Audiologist 330 Borthwick Ave, Suite 209, Portsmouth, NH 03801-4174 2013-01-09
1902143100 Erica L Regan Audiologist 330 Borthwick Ave, Ste. 209, Portsmouth, NH 03801-4174 2013-01-08
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NPI Name Taxonomy Address Enumeration
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1679922579 Portsmouth Eye Pllc Optometrist 38 Daniel St., Portsmouth, NH 03801 2016-06-10
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1922562909 Dominique Myrick Counselor 528 Dry Run Rd, Portsmouth, OH 45663-8988 2019-01-24
1710466354 Jennifer Cortes Morgan Counselor 355 Crawford St Ste 322, Portsmouth, VA 23704-2819 2018-08-13
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Competitor

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City PORTSMOUTH
Zip Code 03801

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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