Provider Demographics
NPI:1629618772
Name:JACQUES, NATALIE (LCMHC)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:JACQUES
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 1:8 CONTINENTAL DR UNIT G
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-7526
Mailing Address - Country:US
Mailing Address - Phone:978-225-3094
Mailing Address - Fax:
Practice Address - Street 1:8 CONTINENTAL DR UNIT G
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-7526
Practice Address - Country:US
Practice Address - Phone:978-225-3094
Practice Address - Fax:833-664-8704
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-07
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2538101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health