Healthcare Provider Details

I. General information

NPI: 1073840302
Provider Name (Legal Business Name): JESSICA J TURGEON LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2009
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 TRAFALGAR SQ STE 202
NASHUA NH
03063-1968
US

IV. Provider business mailing address

10 TSIENNETO RD
DERRY NH
03038-1505
US

V. Phone/Fax

Practice location:
  • Phone: 603-883-0005
  • Fax: 603-883-0007
Mailing address:
  • Phone: 603-434-1577
  • Fax: 603-434-3101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number885
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: