Organization
JACKSON PEAK COUNSELING, PLLC
Active
Other names
Jackson Peak Counseling, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN R LONGLEY LICSW (PRINCIPAL)
(802) 445-5703
Entity
Organization
Contact information
Practice address
143 CHURCH ST, DORSET, VT 05251-2001
(802) 445-5703
Mailing address
PO BOX 56, DORSET, VT 05251-0056
(802) 445-5703
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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