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Individual
MR. JEFFREY M. SCANNELL
Active
Individual
MR. JEFFREY M. SCANNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMFT, ASAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ASAC
VT
106H00000X
Marriage & Family Therapist
Primary
100.0045570
VT
Other
Enumeration date
07/27/2010
Last updated
01/13/2011
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