Individual
JILLIAN BEAYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
157 MAPLE ST, JEFFERSONVILLE, VT 05464-9347
(802) 417-0208
Mailing address
157 MAPLE ST, JEFFERSONVILLE, VT 05464-9347
(802) 417-0208
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
097.0135697
VT
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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