Individual
JESSI S DEBOER (FARNSWORTH)
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, LADC
Contact information
Practice address
8031 WILLISTON RD STE 3, WILLISTON, VT 05495-6200
(802) 398-5202
Mailing address
8031 WILLISTON RD STE 3, WILLISTON, VT 05495-6200
(802) 398-5202
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000536
VT
101YM0800X
Mental Health Counselor
Primary
068.0057744
VT
Other
Enumeration date
08/12/2010
Last updated
02/27/2024
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