Jackson Peak Counseling, Pllc

NPI #1194572818 in Dorset, Vermont

Provider Information

NPI Number: 1194572818
Entity Type: Organization
Organization Name: Jackson Peak Counseling, Pllc
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 1, 2024
Last Updated: May 1, 2024

Practice Location

Address: 143 CHURCH ST
City: Dorset
State: Vermont
ZIP Code: 05251-2001
Phone: (802) 445-5703

Authorized Official

Name: MR. STEPHEN R LONGLEY, LICSW
Title: PRINCIPAL
Phone: (802) 445-5703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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