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Individual
MR. ANDRE JERMAINE EASON JR.
Active
Individual
MR. ANDRE JERMAINE EASON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC, LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151.0134147
VT
101YM0800X
Mental Health Counselor
068.0135630
VT
Other
Enumeration date
09/06/2022
Last updated
05/15/2024
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