Mr Andre Jermaine Eason Jr, LADC, LCMHC | |
2225 Portland St, St Johnsbury, VT 05819-8635 | |
(802) 334-6744 | |
Not Available |
Full Name | Mr Andre Jermaine Eason Jr |
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Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 2225 Portland St, St Johnsbury, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275254518 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 068.0135630 (Vermont) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 151.0134147 (Vermont) | Primary |
Entity Name | Northeast Kingdom Human Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043372709 PECOS PAC ID: 0941276703 Enrollment ID: O20041012001355 |
Mailing Address | Practice Location Address |
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Mr Andre Jermaine Eason Jr, LADC, LCMHC Po Box 62, East Haven, VT 05837-0062 Ph: (203) 721-2931 | Mr Andre Jermaine Eason Jr, LADC, LCMHC 2225 Portland St, St Johnsbury, VT 05819-8635 Ph: (802) 334-6744 |
Ms. Cheryl Santacaterina, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 161 Western Ave, Suite 102, St Johnsbury, VT 05819 Phone: 802-748-2220 | |
Elizabeth Carbery Neal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 242 Eastern Ave, St Johnsbury, VT 05819 Phone: 802-748-1700 | |
Mr. Daniel Baslock, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Eastern Ave, St Johnsbury, VT 05819 Phone: 802-535-9114 | |
Jane F Nuse, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 560 Railroad St, St Johnsbury, VT 05819 Phone: 802-748-3181 Fax: 802-748-0704 | |
Meghan Garcia, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 67 Eastern Ave Ste 311, St Johnsbury, VT 05819 Phone: 802-473-8421 | |
Ms. Barbara Louise Elzohairy, M.A. .R.N. Counselor Medicare: Not Enrolled in Medicare Practice Location: 394 Railroad St, St Johnsbury, VT 05819 Phone: 802-535-2033 | |
Ms. Ruth E Rubin, MSW, MED, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1091 Hospital Dr, St Johnsbury, VT 05819 Phone: 902-748-8920 Fax: 802-748-9536 |