Individual
MS. ELIZABETH ANN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCMHC
Contact information
Practice address
11 PEARL ST STE 103, ESSEX JUNCTION, VT 05452-3650
(802) 557-8027
Mailing address
17 PINE CT, ESSEX JUNCTION, VT 05452-4611
(802) 878-3671
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680075055
VT
Other
Enumeration date
12/01/2011
Last updated
03/19/2019
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