Individual
JILL EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
1138 PINE ST, BURLINGTON, VT 05401-5353
(802) 488-6600
Mailing address
208 FLYNN AVE, SUITE 3J, BURLINGTON, VT 05401-5429
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0074868
VT
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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