Mr. Andre J Eason Jr., LADC, LCMHC
Counselor, Addiction (Substance Use Disorder) in St Johnsbury, Vermont
1275254518- Practice location
- 2225 Portland St, St Johnsbury, VT 05819-8635
- Phone
- 802-334-6744
- Fax
- —
- Last updated
- May 15, 2024
Andre Jermaine Eason is a Counselor, Addiction (Substance Use Disorder) based in St Johnsbury, VT. Andre Jermaine Eason practices in St Johnsbury, VT and has the professional credentials of LADC, LCMHC. The NPI Number for Andre Jermaine Eason is 1275254518 and holds a License No. 068.0135630 (VT). The current practice location address for Andre Jermaine Eason is 2225 Portland St, St Johnsbury, VT 05819-8635 and can be reached out via phone at 802-334-6744.
Provider Profile Details
- NPI Number
- 1275254518
- Provider Name
- Andre Jermaine Eason
- Credential
- LADC, LCMHC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2225 Portland St, St Johnsbury, VT 05819-8635
- Phone Number
- 802-334-6744
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 6, 2022
- Last Update Date
- May 15, 2024
- Certification Date
- May 15, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2225 Portland St
St Johnsbury, VT 05819-8635 - City
- St Johnsbury
- State
- Vermont
- Zip
- 05819-8635
- Phone Number
- 802-334-6744
Provider Business Mailing Address Details
- Address
- Po Box 62
East Haven, VT 05837-0062 - City
- East Haven
- State
- VT
- Zip
- 05837-0062
- Phone Number
- 203-721-2931
License Information
- License Number (1)
- 068.0135630
- License State (1)
- VT
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- License Number (2)
- 151.0134147
- License State (2)
- VT
- Taxonomy (2)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near St Johnsbury, VT
View all Counselor, Addiction (Substance Use Disorder) providers in St Johnsbury →- Gary H Mitchell, LADCCounselor, Addiction (Substance Use Disorder) · NPI 1265784227
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Frequently Asked Questions
What is the NPI number of Mr. Andre J Eason Jr., LADC, LCMHC?
The NPI number of Mr. Andre J Eason Jr., LADC, LCMHC is 1275254518. It was assigned on September 6, 2022 and is currently active in the NPPES registry.
What is the specialty of Mr. Andre J Eason Jr., LADC, LCMHC?
Mr. Andre J Eason Jr., LADC, LCMHC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in VT under license number 068.0135630.
Where does Mr. Andre J Eason Jr., LADC, LCMHC practice?
The practice location is 2225 Portland St, St Johnsbury, VT 05819-8635. The office can be reached at 802-334-6744 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275254518 directly on the NPPES registry website.