Individual
JESSICA K WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
28 PLEASANT ST, RANDOLPH, VT 05060-1265
(802) 505-8596
Mailing address
3488 THAYER BROOK RD, BRAINTREE, VT 05060-9201
(802) 505-8596
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000468
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00048725
BC/BS OF VT
VT
05
—
1007326
—
VT
01
—
14Y000794VT01
BC/BS OF NH
VT
01
—
2052859
CIGNA
VT
01
—
373342
TRICARE
VT
01
—
989026C
MVP HEALTHCARE
VT
Enumeration date
07/26/2006
Last updated
10/22/2021
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