Individual
JESSICA PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCMHC
Contact information
Practice address
FMRSD CENTRAL OFFICE, 122 NH ROUTE 12A, LANGDON, NH 03602
(603) 835-7111
Mailing address
PO BOX 720, ALSTEAD, NH 03602-0720
(603) 835-7111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2391
NH
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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