Blizzard, Jason Randelle
Blizzard, Jason Randelle is an sole proprietor health care provider with primary practice located at 1 Medical Center Dr , Lebanon NH 03756-0001. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Blizzard, Jason Randelle can be contacted via phone (603) 650-5000.Contact Information
Primary practice address
1 Medical Center Dr
Lebanon NH 03756-0001
Phone: (603) 650-5000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 004353 | Georgia |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1663 | New Hampshire |
Profile Details
NPI number | 1245877802 |
---|---|
LBN Legal business name | Blizzard, Jason Randelle |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 3rd, 2019 |
Last updated | Aug 28th, 2023 - about last year |
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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