Individual
JENNIFIR BAILES HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
850 MEADOWBROOK RD, BRATTLEBORO, VT 05301-2594
(802) 387-2254
Mailing address
PO BOX 658, PUTNEY, VT 05346-0658
(802) 387-2254
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000756
VT
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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