Individual
JENNELLE ALVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LCMHC LADC NCC
Contact information
Practice address
133 ELM ST, MONTPELIER, VT 05602-3233
(802) 552-8622
Mailing address
PO BOX 1075, MONTPELIER, VT 05601-1075
(802) 345-5630
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000700
VT
101YM0800X
Mental Health Counselor
Primary
068.0117881
VT
Other
Enumeration date
02/01/2016
Last updated
01/21/2021
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