Individual
JENNIFER L CETIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
103 SOUTH MAIN ST, SUITE 4, BARRE, VT 05641
(802) 479-3330
(802) 479-3378
Mailing address
26 MOONLIGHT DR, BARRE, VT 05641
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000615
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009772
—
VT
Enumeration date
08/31/2006
Last updated
07/08/2007
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