Bennett, Jessica

Bennett, Jessica is an individual health care provider with primary practice located at 288 S River Rd , Bedford NH 03110-6815. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Bennett, Jessica can be contacted via phone (603) 454-4038.

Contact Information

Primary practice address
288 S River Rd Bedford NH 03110-6815
Phone: (603) 454-4038
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0123 New Hampshire
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1259 New Hampshire

Profile Details

NPI number 1851641062
LBN Legal business name Bennett, Jessica
Credentials LCMHC, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2012
Last updated Apr 30th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851641062 NPPES
Massachusetts MEDICAID 110027995

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