Individual
JACQUELINE OVERSTREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
2095 POMFRET ROAD, SOUTH POMFRET, VT 05067
(802) 356-2565
Mailing address
PO BOX 222, SOUTH POMFRET, VT 05067-0222
(802) 356-2565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0134150
VT
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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