Individual
JESIKA ORTIZ BUENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
1850 ELM ST, MANCHESTER, NH 03104-2911
(603) 600-4008
Mailing address
200 LAFAYETTE ST, MANCHESTER, NH 03102-2923
(603) 557-4981
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4702
NH
Other
Enumeration date
07/11/2024
Last updated
03/04/2026
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