Healthcare Provider Details
I. General information
NPI: 1376450130
Provider Name (Legal Business Name): JESS REEDY-SWAN COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
82 ODE WAY
MANCHESTER NH
03103-5897
US
IV. Provider business mailing address
82 ODE WAY
MANCHESTER NH
03103-5897
US
V. Phone/Fax
- Phone: 603-239-2439
- Fax: 603-606-9723
- Phone: 603-239-2439
- Fax: 603-606-9723
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JESSICA
REEDY-SWAN
Title or Position: OWNER/PROVIDER
Credential: LMHC
Phone: 603-239-2439