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Individual
JACOB CHAMPNEY
Active
Individual
JACOB CHAMPNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LCMHC MLADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
835
NH
101YM0800X
Mental Health Counselor
Primary
884
NH
Other
Enumeration date
12/19/2006
Last updated
10/29/2018
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