Individual
JEAN FORTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
401 CYPRESS ST, MANCHESTER, NH 03103-3628
(603) 668-4111
Mailing address
401 CYPRESS ST, MANCHESTER, NH 03103-3628
(603) 668-4111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
409
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020258994-37
HARVARD PILGRIM
NH
01
—
14Y001168NH01
BLUE CROSS
NH
01
—
2072108
CIGNA
NH
Enumeration date
10/06/2006
Last updated
12/20/2023
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