Individual
JENNIFER DUBUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
ISLAND POND HEALTH CENTER, 82 MAPLE ST, ISLAND POND, VT 05846
(802) 723-4300
(802) 723-4544
Mailing address
165 SHERMAN DR, ST JOHNSBURY, VT 05819-9811
(802) 748-9405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0134279
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068.0134279
STATE OF VERMONT
VT
Enumeration date
02/11/2021
Last updated
02/11/2021
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