Individual
JENNIFER MICHELLE HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC AND MLADC
Contact information
Practice address
170 MIDDLE ST, LANCASTER, NH 03584-3556
(603) 788-2521
(603) 788-5092
Mailing address
173 MIDDLE ST, LANCASTER, NH 03584-3508
(603) 788-5029
(603) 788-5607
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1165
NH
101YM0800X
Mental Health Counselor
Primary
1165
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031689
—
VT
05
—
3105566
—
NH
Enumeration date
02/01/2012
Last updated
06/17/2020
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