Provider Demographics
NPI:1982194676
Name:LEE-BABINEAU, GAYLE BETH (MS)
Entity Type:Individual
Prefix:
First Name:GAYLE
Middle Name:BETH
Last Name:LEE-BABINEAU
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 DUBUQUE ST APT 2
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102-3962
Mailing Address - Country:US
Mailing Address - Phone:603-793-2884
Mailing Address - Fax:603-793-2884
Practice Address - Street 1:45 DUBUQUE ST APT 2
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-3962
Practice Address - Country:US
Practice Address - Phone:603-793-2884
Practice Address - Fax:603-793-2884
Is Sole Proprietor?:No
Enumeration Date:2018-05-17
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1189101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)