| Doctor Name: | MISS JESSICA MICHAUD |
| NPI Number: | 1053609347 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LCMHC |
| License Number: | 866 |
| Business Practice Address: | 226 Rockingham Rd Londonderry, NH - 030532107 |
| Business Phone Number: | 6034252989 |
| Business Fax Number: | 6034252978 |
| Mailing Address: | 226 Rockingham Rd, LONDONDERRY |
| State: | NH |
| Postal Code: | 030532107 |
| Phone Number: | 6034252989 |
| Fax Number: | 6034252978 |
| NPI Enumeration Date: | 07/20/2011 |
| NPI Last Update Date: | 04/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 866 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |