| Jennifer Sanborn, Ms, Ladc, Plc | |
|
274 Davison Rd Mooers Forks NY 12959 | |
| (802) 304-0284 | |
| Not Available |
| Full Name | Jennifer Sanborn, Ms, Ladc, Plc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 274 Davison Rd, Mooers Forks, New York |
| Authorized Official Name and Position | Jennifer Sanborn (OWNER/CLINICIAN) |
| Authorized Official Contact | 8025050811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Sanborn, Ms, Ladc, Plc 274 Davison Rd Mooers Forks NY 12959-2207 Ph: (802) 505-0811 | Jennifer Sanborn, Ms, Ladc, Plc 274 Davison Rd Mooers Forks NY 12959 Ph: (802) 304-0284 |
| NPI Number | 1881405413 |
|---|---|
| Provider Enumeration Date | 01/14/2025 |
| Last Update Date | 01/14/2025 |
| Certification Date | 01/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881405413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |