Individual
JESSICA N GRECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
12 COMMONS ST, RUTLAND, VT 05701-4651
(802) 747-3600
(802) 773-8501
Mailing address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 747-3600
(802) 773-8501
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
089.0129272
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01420800
—
NY
Enumeration date
07/02/2008
Last updated
09/17/2018
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