Individual
MS. JAMIE MITCHELL HALLENGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.M.F.T
Contact information
Practice address
103 ROXBURY ST, SUITE 209, KEENE, NH 03431-8801
(603) 355-6655
Mailing address
39 PINE TREE CIR, PO BOX 485, SPOFFORD, NH 03462-4005
(603) 363-8481
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
76
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14Y001557NH02
ANTHEM BCBS/BHN
NH
01
—
2165404
CIGNA
NH
05
—
30423474
—
NH
01
—
311262
MHN
NH
01
—
5483118
ULTRABENEFITS/HCVM
NH
01
—
9384420
PHCS
NH
Enumeration date
11/29/2005
Last updated
07/09/2007
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