Individual
JESSICA L TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
40 LEON WOOD RD, PUTNEY, VT 05346-8853
(802) 451-6706
Mailing address
40 LEON WOOD RD, PUTNEY, VT 05346-8853
(802) 451-6706
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
097.0134945
VT
101YM0800X
Mental Health Counselor
Primary
7626
NC
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/16/2007
Last updated
02/02/2022
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