Individual
JENNIFER L CASTONGUAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
12 RIVER ST UNIT 104, MILTON, VT 05468-3628
(802) 559-0120
(802) 559-0124
Mailing address
PO BOX 686, MILTON, VT 05468-0686
(802) 595-0120
(802) 559-0124
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0057801
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019925
—
VT
Enumeration date
11/03/2011
Last updated
04/29/2019
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