Individual
JESSICA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
219 S MAIN ST, SAINT ALBANS, VT 05478-1821
(806) 674-1638
Mailing address
219 S MAIN ST, SAINT ALBANS, VT 05478-1821
(806) 674-1638
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
097.0135646
VT
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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