Doctor Name: | MRS. JAMIE ELLEN POULIOT |
NPI Number: | 1992020507 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 7641 |
Business Practice Address: | 217 Old Homestead Hwy Suite I Swanzey, NH - 034462140 |
Business Phone Number: | 6032096137 |
Business Fax Number: | 6034994455 |
Mailing Address: | 217 Old Homestead Hwy, Suite I SWANZEY |
State: | NH |
Postal Code: | 034462140 |
Phone Number: | 6032096137 |
Fax Number: | |
NPI Enumeration Date: | 04/07/2010 |
NPI Last Update Date: | 03/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 7641 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |