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Organization
JENNIFER SANBORN, MS, LADC, PLC
Active
Organization
JENNIFER SANBORN, MS, LADC, PLC
Active
Other names
Jennifer Sanborn
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SANBORN MS, LADC, MLADC (OWNER/CLINICIAN)
(802) 505-0811
Entity
Organization
Contact information
Practice address
274 DAVISON RD, MOOERS FORKS, NY 12959
(802) 304-0284
Mailing address
274 DAVISON RD, MOOERS FORKS, NY 12959-2207
(802) 505-0811
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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