Individual
MS. JESSICA A YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
145 PINE HAVEN SHORES RD, STE 2173, SHELBURNE, VT 05482-7703
(802) 557-0128
Mailing address
145 PINE HAVEN SHORES RD, STE 2173, SHELBURNE, VT 05482-7703
(802) 557-0128
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0001077
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011980
—
VT
01
—
68912
BCBS
VT
Enumeration date
02/22/2006
Last updated
07/23/2021
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