Provider Demographics
NPI:1255615407
Name:SCHIRMER, JENNIFER L (LCMHC, NCC, CCTP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:L
Last Name:SCHIRMER
Suffix:
Gender:F
Credentials:LCMHC, NCC, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 OLD ROCHESTER RD STE 105
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-2028
Mailing Address - Country:US
Mailing Address - Phone:603-343-4784
Mailing Address - Fax:
Practice Address - Street 1:6 OLD ROCHESTER RD STE 105
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820
Practice Address - Country:US
Practice Address - Phone:603-343-4784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-06
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1242101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
14197894OtherCAQH