Individual
JACOB CHAMPNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LCMHC MLADC
Contact information
Practice address
100 HITCHCOCK WAY, DARTMOUTH HITCHCOCK - PSYCHIATRY, MANCHESTER, NH 03104
(603) 650-6150
Mailing address
100 HITCHCOCK WAY, DARTMOUTH HITCHCOCK - PSYCHIATRY, MANCHESTER, NH 03104
(603) 650-6150
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
835
NH
101YM0800X
Mental Health Counselor
Primary
884
NH
Other
Enumeration date
12/19/2006
Last updated
10/29/2018
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