Individual
JENNIFER MIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
22 REYNOLDS AVE, MANCHESTER, NH 03103-3624
(917) 499-5940
Mailing address
22 REYNOLDS AVE, MANCHESTER, NH 03103-3624
(917) 499-5940
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
010273
NY
Other
Enumeration date
05/11/2020
Last updated
05/17/2022
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