| Jennie Holden Plc | |
|
21 Merchant St Barre VT 05641-3871 | |
| (802) 272-2545 | |
| (888) 456-4314 |
| Full Name | Jennie Holden Plc |
|---|---|
| Speciality | Counselor |
| Location | 21 Merchant St, Barre, Vermont |
| Authorized Official Name and Position | Jennie Holden (OWNER) |
| Authorized Official Contact | 8022722545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennie Holden Plc 21 Merchant St Barre VT 05641-3871 Ph: (802) 272-2545 | Jennie Holden Plc 21 Merchant St Barre VT 05641-3871 Ph: (802) 272-2545 |
| NPI Number | 1679339147 |
|---|---|
| Provider Enumeration Date | 02/22/2024 |
| Last Update Date | 02/22/2024 |
| Certification Date | 02/22/2024 |
| Medicare PECOS PAC ID | 3173962289 |
|---|---|
| Medicare Enrollment ID | O20240422001207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679339147 | NPI | - | NPPES |
| Provider Name | Rachel Elizabeth Clokey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851076806 PECOS PAC ID: 7911348735 Enrollment ID: I20240510002363 |
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