Provider Demographics
NPI:1780135954
Name:SLOPER, JENNIFER (MS, MLADC, CMHC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:SLOPER
Suffix:
Gender:F
Credentials:MS, MLADC, CMHC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:PARADIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, MLADC, CMHC
Mailing Address - Street 1:700 LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-2734
Mailing Address - Country:US
Mailing Address - Phone:603-622-3020
Mailing Address - Fax:
Practice Address - Street 1:700 LAKE AVE
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-2734
Practice Address - Country:US
Practice Address - Phone:603-622-3020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-21
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
NH0576101YA0400X
NH1264101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor