Hallengren, Jamie Mitchell

Hallengren, Jamie Mitchell is an sole proprietor health care provider with primary practice located at 103 Roxbury St Suite 209, Keene NH 03431-8801. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Hallengren, Jamie Mitchell can be contacted via phone (603) 355-6655.

Contact Information

Primary practice address
103 Roxbury St Suite 209 Keene NH 03431-8801
Phone: (603) 355-6655
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 76 New Hampshire

Profile Details

NPI number 1912980517
LBN Legal business name Hallengren, Jamie Mitchell
Credentials M.A., L.M.F.T
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2005
Last updated Jul 9th, 2007 - about 18 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 1912980517 NPPES
New Hampshire MEDICAID 30423474
New Hampshire Other 9384420
New Hampshire Other 311262
New Hampshire Other 5483118
New Hampshire Other 14Y001557NH02
New Hampshire Other 2165404

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