Individual
MR. SHAWN JASON HASSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
540 CHESTNUT ST, SUITE 103, MANCHESTER, NH 03101-1447
(603) 223-4062
(603) 641-3499
Mailing address
153 OLD HEDDING RD, UNIT 13, EPPING, NH 03042-2344
(603) 679-8024
(603) 641-3499
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
69
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14Y007402NH01
BHN, ANTHEM, BCBSNH
NH
05
—
30424646
—
NH
Enumeration date
05/09/2007
Last updated
07/09/2007
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