Provider Demographics
NPI:1023215068
Name:LEPPANEN LERNER, JILL (LCMHC)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:LEPPANEN LERNER
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:754 CHESTNUT ST STE 2
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-3012
Mailing Address - Country:US
Mailing Address - Phone:603-836-5003
Mailing Address - Fax:603-836-5004
Practice Address - Street 1:754 CHESTNUT ST STE 2
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-3012
Practice Address - Country:US
Practice Address - Phone:603-836-5003
Practice Address - Fax:603-836-5004
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health