Individual
JESSICA WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, LCMHC
Contact information
Practice address
86 LAKE ST, BURLINGTON, VT 05401-5297
(802) 865-3450
Mailing address
25 BACON ST UNIT 402, SOUTH BURLINGTON, VT 05403-4496
(207) 400-7390
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000274
VT
101YM0800X
Mental Health Counselor
Primary
068.0134422
VT
Other
Enumeration date
09/01/2016
Last updated
01/30/2023
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