Individual
JADE MARTIN-WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
63 EMERALD STREET, 102, KEENE, NH 03431
(603) 903-1414
Mailing address
63 EMERALD ST # 102, KEENE, NH 03431-3626
(603) 903-1414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/29/2015
Last updated
12/08/2020
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