Individual
JEREMY J VERMILYEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC, LCPC, LADC
Contact information
Practice address
38 SANDHILL RD, FAIRFAX, VT 05454-9564
(802) 277-0317
Mailing address
38 SANDHILL RD, FAIRFAX, VT 05454-9564
(802) 277-0317
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC7047
ME
101YM0800X
Mental Health Counselor
Primary
068.0135309
VT
101YM0800X
Mental Health Counselor
XL5231
ME
Other
Enumeration date
01/29/2021
Last updated
12/04/2023
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