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Individual

JENNIFER G COGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCMHC

Contact information

Practice address
330 BORTHWICK AVE, SUITE 101, PORTSMOUTH, NH 03801-4174
(603) 433-8434
(603) 436-6608
Mailing address
330 BORTHWICK AVE, SUITE 101, PORTSMOUTH, NH 03801-4174
(603) 433-8434
(603) 436-6608

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
608
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30427099
NH
Enumeration date
08/27/2008
Last updated
02/26/2009
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