Organization
JENNIFER SANBORN, MS, LADC, PLC
Active
Other names
Jennifer Sanborn
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SANBORN MS, LADC, MLADC (OWNER/CLINICIAN)
(802) 505-0811
Entity
Organization
Contact information
Practice address
274 DAVISON RD, MOOERS FORKS, NY 12959
(802) 304-0284
Mailing address
274 DAVISON RD, MOOERS FORKS, NY 12959-2207
(802) 505-0811
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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