Provider Demographics
NPI:1134218480
Name:ABELLA, RAMONA V (LCMHC)
Entity type:Individual
Prefix:
First Name:RAMONA
Middle Name:V
Last Name:ABELLA
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 MAPLEWOOD AVE
Mailing Address - Street 2:UNIT 18
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-3584
Mailing Address - Country:US
Mailing Address - Phone:603-431-0041
Mailing Address - Fax:
Practice Address - Street 1:118 MAPLEWOOD AVE
Practice Address - Street 2:BLDG 2
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-3787
Practice Address - Country:US
Practice Address - Phone:603-431-0041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH259101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH14Y001283NH01OtherBLUE CROSS BLUE SHIELDE
NH30421418Medicaid