Individual
JOANNA HELENE JEROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LADC
Contact information
Practice address
27 RYE CIR, SOUTH BURLINGTON, VT 05403-7632
(802) 654-7607
(802) 654-9155
Mailing address
1662 PUMPKIN VILLAGE RD, ENOSBURG FALLS, VT 05450-5577
(802) 782-4701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151.0127654
VT
Other
Enumeration date
05/30/2023
Last updated
07/10/2023
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