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Individual

MISS JESSICA MICHAUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LCMHC

Contact information

Practice address
226 ROCKINGHAM RD, LONDONDERRY, NH 03053-2107
(603) 425-2989
(603) 425-2978
Mailing address
226 ROCKINGHAM RD, LONDONDERRY, NH 03053-2107
(603) 425-2989
(603) 425-2978

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
866
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30429035
NH
Enumeration date
07/20/2011
Last updated
04/05/2012
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