Organization
JENNIFER WHITEHEAD
Active
Organization
JENNIFER WHITEHEAD
Active
Parent organization
JENNIFER WHITEHEAD
Other names
Jennifer Whitehead
Organization subpart
Yes
Provider details
NPI number
Legal business name
JENNIFER WHITEHEAD
Authorized official
JENNIFER WHITEHEAD LICSW, MLADC (THERAPIST)
(603) 620-3662
Entity
Organization
Contact information
Practice address
25 ROXBURY ST, KEENE, NH 03431-3257
(603) 620-3662
Mailing address
196 SOUTH LINCOLN STREET, KEENE, KEENE, NH 03431
(603) 620-3662
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3121329
—
NH
Enumeration date
12/29/2022
Last updated
12/29/2022
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