| Jennifer Kiewit, Ms, Llc | |
|
19 Pine St Bristol VT 05443-1007 | |
| (802) 777-0911 | |
| Not Available |
| Full Name | Jennifer Kiewit, Ms, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 19 Pine St, Bristol, Vermont |
| Authorized Official Name and Position | Jennifer Kiewit (OWNER) |
| Authorized Official Contact | 8027770911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Kiewit, Ms, Llc 19 Pine St Bristol VT 05443-1007 Ph: () - | Jennifer Kiewit, Ms, Llc 19 Pine St Bristol VT 05443-1007 Ph: (802) 777-0911 |
| NPI Number | 1164296737 |
|---|---|
| Provider Enumeration Date | 11/14/2023 |
| Last Update Date | 11/14/2023 |
| Certification Date | 11/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164296737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Magnolia Counseling Solutions, Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 Rockydale Rd, Bristol, VT 05443 Phone: 802-782-2426 Fax: 802-304-5787 |