Organization
ONEBREATH VERMONT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON M CARRIVEAU PMHNP (OWNER/PROVIDER)
(802) 793-8636
Entity
Organization
Contact information
Practice address
28 PARK AVE STE 100, WILLISTON, VT 05495-9701
(802) 498-8123
Mailing address
28 PARK AVE STE 100, WILLISTON, VT 05495-9701
(802) 498-8123
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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