# JACKSON PEAK COUNSELING, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jackson Peak Counseling, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194572818
- **Authorized official:** MR. STEPHEN R LONGLEY LICSW (PRINCIPAL)
- **Authorized official phone:** (802) 445-5703

## Contact information

- **Practice address:** 143 CHURCH ST, DORSET, VT 05251-2001
- **Practice address phone:** (802) 445-5703
- **Mailing address:** PO BOX 56, DORSET, VT 05251-0056
- **Mailing address phone:** (802) 445-5703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2024
- **Last updated:** 05/01/2024