Individual
MR. JEAN L STIMMELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
524 JENNESS POND RD, NORTHWOOD, NH 03261-3111
(603) 942-5889
Mailing address
524 JENNESS POND RD, NORTHWOOD, NH 03261-3111
(603) 942-5889
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
255
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
.114339
TEAMSTERS BEHAVIORAL HEAL
NH
01
—
118708
BEHAVIORAL HEALTH NETWORK
NH
01
—
14Y001621NH01
ANTHEM BCBS
NH
01
—
2163827
CIGNA BEHAVIORAL HEALTH
NH
05
—
30422461
—
NH
Enumeration date
07/08/2006
Last updated
07/09/2007
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