# ONEBREATH VERMONT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780411223
- **Authorized official:** JASON M CARRIVEAU PMHNP (OWNER/PROVIDER)
- **Authorized official phone:** (802) 793-8636

## Contact information

- **Practice address:** 28 PARK AVE STE 100, WILLISTON, VT 05495-9701
- **Practice address phone:** (802) 498-8123
- **Mailing address:** 28 PARK AVE STE 100, WILLISTON, VT 05495-9701
- **Mailing address phone:** (802) 498-8123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/18/2024
- **Last updated:** 09/18/2024