# JENNIFER SANBORN, MS, LADC, PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jennifer Sanborn
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881405413
- **Authorized official:** JENNIFER SANBORN MS, LADC, MLADC (OWNER/CLINICIAN)
- **Authorized official phone:** (802) 505-0811

## Contact information

- **Practice address:** 274 DAVISON RD, MOOERS FORKS, NY 12959
- **Practice address phone:** (802) 304-0284
- **Mailing address:** 274 DAVISON RD, MOOERS FORKS, NY 12959-2207
- **Mailing address phone:** (802) 505-0811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/14/2025
- **Last updated:** 01/14/2025