Chisholm, Jennifer
Chisholm, Jennifer is an individual health care provider with primary practice located at 464 Chestnut St , Manchester NH 03101-1804. 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Chisholm, Jennifer can be contacted via phone (603) 518-4325.Contact Information
Primary practice address
464 Chestnut St
Manchester NH 03101-1804
Phone: (603) 518-4325
Fax: (603) 668-6260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0887 | New Hampshire |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1788 | New Hampshire |
Profile Details
| NPI number | 1134464019 |
|---|---|
| LBN Legal business name | Chisholm, Jennifer |
| Credentials | LICSW, MLADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2012 |
| Last updated | Jul 3rd, 2014 - about 12 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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