Individual
JENNIE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5 S MAIN ST, WHITE RIVER JUNCTION, VT 05001-7145
(802) 299-6601
Mailing address
282 JUSTIN MORRILL MEMORIAL HWY, STRAFFORD, VT 05072-9763
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
VT
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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