Individual provider · Type 1 NPI

Jonathan M. Trachim, BA

Specialist · Manchester, NH

NPI number 1780932178 Active

Practice location

1555 Elm St
Manchester, NH 03101-1203

Fax (603) 628-7757

Mailing address

401 Cypress St
Manchester, NH 03103-3628

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed
Mental Health Counselor 101YM0800XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1780932178

Jonathan M. Trachim, BA's National Provider Identifier is 1780932178, issued on Aug 16, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Manchester, NH. The record was last updated on Sep 11, 2015.