Provider Demographics
NPI:1225012487
Name:GILCHREST, JEANNE M (PHD, LMHC)
Entity Type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:M
Last Name:GILCHREST
Suffix:
Gender:F
Credentials:PHD, LMHC
Other - Prefix:
Other - First Name:JEANNE
Other - Middle Name:M
Other - Last Name:FUGERE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:9 ACTON RD
Mailing Address - Street 2:SUITE 25
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-3498
Mailing Address - Country:US
Mailing Address - Phone:978-256-6579
Mailing Address - Fax:978-256-1943
Practice Address - Street 1:73 PRINCETON ST STE 314
Practice Address - Street 2:
Practice Address - City:NORTH CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-1559
Practice Address - Country:US
Practice Address - Phone:978-828-2206
Practice Address - Fax:978-256-1943
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-01
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5797101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MALM1166OtherBCBSMA