Individual
MR. JASON CARRIVEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC, RN, ATC
Contact information
Practice address
28 PARK AVE STE 100, WILLISTON, VT 05495-9701
(802) 793-8636
Mailing address
PO BOX 38, WILLISTON, VT 05495-0038
(802) 498-8123
(802) 448-5637
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
101.0135812
VT
Other
Enumeration date
10/23/2013
Last updated
02/13/2025
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