Provider Demographics
NPI:1376660381
Name:CLEARY, JANET P (MA, LCMHC)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:P
Last Name:CLEARY
Suffix:
Gender:F
Credentials:MA, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10125
Mailing Address - Street 2:
Mailing Address - City:SWANZEY
Mailing Address - State:NH
Mailing Address - Zip Code:03446
Mailing Address - Country:US
Mailing Address - Phone:603-209-1526
Mailing Address - Fax:603-283-0197
Practice Address - Street 1:39 PARTRIDGEBERRY LANE
Practice Address - Street 2:
Practice Address - City:SWANZEY
Practice Address - State:NH
Practice Address - Zip Code:03446
Practice Address - Country:US
Practice Address - Phone:603-209-1526
Practice Address - Fax:603-283-0197
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0607101YA0400X
NH849101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3080702Medicaid
NH81263595Medicaid