Individual
PATRICIA JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCMHC
Contact information
Practice address
111 CHURCH ST, LACONIA, NH 03246-3432
(603) 254-1100
Mailing address
58 WINDMILL LN, LACONIA, NH 03246-2651
(603) 524-1100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
152
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7706646Y0NH01
ANTHEM
NH
01
—
889986A
MVP HEALTHCARE
NH
01
—
A019
CHAMPUS
NH
Enumeration date
11/30/2006
Last updated
07/08/2007
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