Individual
JESSICA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
300 S MAIN ST # 1020, RUTLAND, VT 05701-4907
(401) 484-0559
(401) 240-1207
Mailing address
300 S MAIN ST # 1020, RUTLAND, VT 05701-4907
(401) 484-0559
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
09/27/2023
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