Individual
HEATHER M JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCMHC
Contact information
Practice address
140 W SHORE RD, GRAND ISLE, VT 05458-2103
(802) 355-1110
Mailing address
140 W SHORE RD, GRAND ISLE, VT 05458-2103
(802) 355-1110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0104740
VT
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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