Individual
JEANA EMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
85 N MAIN ST, SUITE 210, WHITE RIVER JUNCTION, VT 05001-7134
(802) 295-2600
Mailing address
PO BOX 504, WHITE RIVER JUNCTION, VT 05001-0504
(802) 295-2600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000471
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00049353
BLUE CROSS BLUE SHIELD
VT
05
—
1007450
—
VT
01
—
1153402
CIGNA
—
01
—
14Y008004VT01
ANTHEM BCBS
NH
05
—
30425815
—
NH
Enumeration date
03/19/2007
Last updated
07/08/2007
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