| Jackson Peak Counseling, Pllc | |
|
143 Church St Dorset VT 05251-2001 | |
| (802) 445-5703 | |
| Not Available |
| Full Name | Jackson Peak Counseling, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 143 Church St, Dorset, Vermont |
| Authorized Official Name and Position | Stephen R Longley (PRINCIPAL) |
| Authorized Official Contact | 8024455703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Peak Counseling, Pllc Po Box 56 Dorset VT 05251-0056 Ph: (802) 445-5703 | Jackson Peak Counseling, Pllc 143 Church St Dorset VT 05251-2001 Ph: (802) 445-5703 |
| NPI Number | 1194572818 |
|---|---|
| Provider Enumeration Date | 05/01/2024 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194572818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |