Individual
JAYNE ISRAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
19 COURT ST, MONTPELIER, VT 05602-2812
(802) 223-2022
Mailing address
3496 E HILL RD, PLAINFIELD, VT 05667-9541
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068 0000159
VT
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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