Individual
HEATHER JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
861 WILLISTON ROAD STE 8, #1089, SOUTH BURLINGTON, VT 05403
(401) 533-3966
Mailing address
33 W FRANKLIN ST STE 201, HAGERSTOWN, MD 21740-4863
(401) 533-3966
(401) 496-9657
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
11/04/2016
Last updated
12/17/2025
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