Individual
JESSICA I. DAMBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
65 NORTHGATE PLAZA, SUITE 11, MORRISVILLE, VT 05661-5900
(802) 888-8320
(802) 888-8136
Mailing address
PO BOX 749, MORRISVILLE, VT 05661-0749
(800) 851-8603
(802) 851-8313
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680000596
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009127
—
VT
Enumeration date
10/17/2006
Last updated
05/31/2012
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