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Organization
MAIN STREET MENTAL HEALTH, PLLC
Active
Organization
MAIN STREET MENTAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOAN ST JEAN APRN (OWNER)
(603) 738-2445
Entity
Organization
Contact information
Practice address
11 CANAL ST, MEREDITH, NH 03253-5902
(603) 738-2445
Mailing address
PO BOX 535, MEREDITH, NH 03253-0535
(603) 738-2445
(603) 279-7042
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
026459-23-08
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152562
CIGNA
—
05
—
3072631
—
NH
01
—
50Y011206NH01
ANTHEM
NH
Enumeration date
02/07/2008
Last updated
12/08/2022
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