Individual
MRS. JESSICA STUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, MLADC
Contact information
Practice address
1 MIDDLE ST STE 223, PORTSMOUTH, NH 03801-4391
(857) 302-0313
(603) 766-0009
Mailing address
1 MIDDLE ST STE 223, PORTSMOUTH, NH 03801-4391
(857) 302-0313
(603) 766-0009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1017
NH
1041C0700X
Clinical Social Worker
Primary
1947
NH
Other
Enumeration date
11/19/2010
Last updated
10/18/2020
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