Individual
JESSICA A GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
7 PROSPECT ST., NASHUA, NH 03060
(603) 889-6147
(603) 883-1568
Mailing address
7 PROSPECT ST., NASHUA, NH 03060
(603) 889-6147
(603) 883-1568
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
621
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168412
CIGNA
NH
05
—
3116331
—
NH
01
—
7706660Y0NH01
BLUE CROSS
NH
Enumeration date
10/03/2006
Last updated
07/18/2019
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