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Organization

MAIN STREET MENTAL HEALTH, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JOAN ST JEAN APRN (OWNER)
(603) 738-2445
Entity
Organization

Contact information

Practice address
11 CANAL ST, MEREDITH, NH 03253-5902
(603) 738-2445
Mailing address
PO BOX 535, MEREDITH, NH 03253-0535
(603) 738-2445
(603) 279-7042

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
026459-23-08
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2152562
CIGNA
05
3072631
NH
01
50Y011206NH01
ANTHEM
NH
Enumeration date
02/07/2008
Last updated
12/08/2022
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