Individual
MR. JEFFREY PETER WEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC, MLADC
Contact information
Practice address
14A TSIENNETO RD, DERRY, NH 03038-1505
(603) 537-1300
(603) 845-5135
Mailing address
14 TSIENNETO RD BLDG B, DERRY, NH 03038-1647
(603) 537-1300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0431
NH
101YM0800X
Mental Health Counselor
Primary
2295
NH
Other
Enumeration date
01/17/2019
Last updated
01/18/2024
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