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754 Chestnut St Suite 2 Manchester NH 03104-3012 | |
| (978) 804-0667 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 754 Chestnut St, Manchester, New Hampshire |
| Authorized Official Name and Position | Shawn J Hassell (MANAGING PARTNER) |
| Authorized Official Contact | 6033708024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
153 Old Hedding Rd Unit 13 Epping NH 03042-2344 Ph: (603) 370-8024 | 754 Chestnut St Suite 2 Manchester NH 03104-3012 Ph: (978) 804-0667 |
| NPI Number | 1386888196 |
|---|---|
| Provider Enumeration Date | 04/23/2009 |
| Last Update Date | 04/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386888196 | NPI | - | NPPES |
| 1730265935 | Other | INDIVIDUAL NPI FOR CHRISTINE LAVOIE | |
| 1134333131 | Other | INDIVIDUAL NPI FOR SHAWN HASSELL | |
| 30424646 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 651 (New Hampshire) | Secondary |
| 106H00000X | Marriage & Family Therapist | 69 (New Hampshire) | Primary |
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