Individual
JESSICA CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MLADC, LCMHC
Contact information
Practice address
464 CHESTNUT ST, MANCHESTER, NH 03101-1804
(603) 518-4000
(603) 668-6260
Mailing address
PO BOX 448, MANCHESTER, NH 03105-0448
(603) 518-4000
(603) 668-6260
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0893
NH
101YM0800X
Mental Health Counselor
1049
NH
Other
Enumeration date
02/28/2013
Last updated
05/09/2014
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