Individual
MRS. JESSICA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC, LADC
Contact information
Practice address
288 S RIVER RD, BEDFORD, NH 03110-6815
(603) 454-4038
Mailing address
PO BOX 342, MERRIMACK, NH 03054-0342
(603) 454-4038
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0123
NH
101YM0800X
Mental Health Counselor
1259
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110027995
—
MA
Enumeration date
09/14/2012
Last updated
04/30/2018
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