Susan G Jacobs LADC

NPI 1437385796 - Counselor - 101YA0400X

NPI Details
NPI 1437385796
Gender Female
Enumeration Date 06/01/2009
Last Updated 06/01/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
154 DUCHESS STREET
NEWPORT VT, 05855, US
Phone (802) 334-7451
Fax (802) 334-7340
Business Location
PO BOX 724
NEWPORT VT, 05855-0724, US
Phone (802) 334-6744
Fax (802) 334-7340
Toxanomy
Taxonomy Code 101YA0400X
License State Vermont
License Number 000468
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According to our database, Susan G Jacobs LADC NPI is 1437385796, taxonomy code is 101YA0400X and license number is 000468, license state is located at Vermont. Susan G Jacobs LADC physically located at 154 Duchess Street, Newport VT, 05855. NPI Number Susan G Jacobs LADC has the Individual type.

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1437385796 NPI number is provided on an as is basis without warranty of any kind. 1437385796 is maintained by the National Plan & Provider Enumeration System. The contents of Susan G Jacobs LADC are for informational purposes only.