Individual
JENNIFER SANBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LADC
Contact information
Practice address
1375 MAPLE TREE PL # 1055, WILLISTON, VT 05495-8210
(802) 304-0284
(802) 419-5376
Mailing address
1375 MAPLE TREE PL # 1055, WILLISTON, VT 05495-8210
(802) 304-0284
(802) 419-5376
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151.0126903
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
1551
NH
Other
Enumeration date
07/31/2014
Last updated
01/13/2025
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