Provider Demographics
NPI:1649583758
Name:CELINE JALBERT COMPASS COUNSELING,LLC
Entity Type:Organization
Organization Name:CELINE JALBERT COMPASS COUNSELING,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CELINE
Authorized Official - Middle Name:PROVENCHER
Authorized Official - Last Name:JALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC & MLADC
Authorized Official - Phone:603-867-2757
Mailing Address - Street 1:11 NORTHEASTERN BLVD
Mailing Address - Street 2:UNIT 240A
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-3139
Mailing Address - Country:US
Mailing Address - Phone:603-816-1660
Mailing Address - Fax:603-816-1661
Practice Address - Street 1:11 NORTHEASTERN BLVD
Practice Address - Street 2:UNIT 240A
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-3139
Practice Address - Country:US
Practice Address - Phone:603-816-1660
Practice Address - Fax:603-816-1661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-17
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0852101YA0400X
NH762101YM0800X
101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty