Individual
MS. JESSA CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADC
Contact information
Practice address
113 VT ROUTE 15, JERICHO, VT 05465-4413
(802) 745-9603
Mailing address
PO BOX 161, JERICHO, VT 05465-0161
(802) 745-9603
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
104440
VT
101YM0800X
Mental Health Counselor
068.0122339
VT
Other
Enumeration date
06/27/2016
Last updated
12/18/2025
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