Individual
JESSICA SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
372 WEST ST, KEENE, NH 03431-2412
(603) 696-1899
Mailing address
19 GREEN MEADOW LN, MANCHESTER, NH 03109-5546
(603) 548-8998
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1264
NH
Other
Enumeration date
12/26/2024
Last updated
01/07/2025
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