Individual
JACLYN TOBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 HERCULES DR STE 1A, COLCHESTER, VT 05446-8113
(802) 310-3039
Mailing address
424 CREEK FARM RD, COLCHESTER, VT 05446-7102
(802) 310-3039
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0134200
VT
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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