Individual
MR. JONATHAN AYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
150 CHERRY ST, BURLINGTON, VT 05401-3818
(802) 310-2798
Mailing address
90 HARRINGTON AVE, SHELBURNE, VT 05482-7106
(802) 310-2798
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
149.0127854
VT
101YP2500X
Professional Counselor
Primary
068.0125707
VT
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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