| Jennifer Whitehead | |
|
25 Roxbury St Keene NH 03431-3257 | |
| (603) 620-3662 | |
| Not Available |
| Full Name | Jennifer Whitehead |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 25 Roxbury St, Keene, New Hampshire |
| Authorized Official Name and Position | Jennifer Whitehead (THERAPIST) |
| Authorized Official Contact | 6036203662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Whitehead 196 South Lincoln Street Keene Keene NH 03431 Ph: (603) 620-3662 | Jennifer Whitehead 25 Roxbury St Keene NH 03431-3257 Ph: (603) 620-3662 |
| NPI Number | 1144933680 |
|---|---|
| Provider Enumeration Date | 12/29/2022 |
| Last Update Date | 12/29/2022 |
| Certification Date | 12/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144933680 | NPI | - | NPPES |
| 3121329 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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