Active NPIIndividual provider

Jacqueline F Esancy, LADC, LCMHC, LPC

Counselor, Mental Health in Fairfax, Vermont

NPI Number1477033207
Practice location
30 Wilson RD, Fairfax, VT 05454-4409
Fax
802-491-8230
Last updated
April 1, 2024

Jacqueline F Esancy is a Counselor, Mental Health based in Fairfax, VT. Jacqueline F Esancy practices in Fairfax, VT and has the professional credentials of LADC, LCMHC, LPC. The NPI Number for Jacqueline F Esancy is 1477033207 and holds a License No. 03-997355 (CT). The current practice location address for Jacqueline F Esancy is 30 Wilson RD, Fairfax, VT 05454-4409 and can be reached out via phone at 802-255-8801 and via fax at 802-491-8230.

Provider Profile Details

NPI Number
1477033207
Provider Name
Jacqueline F Esancy
Credential
LADC, LCMHC, LPC
Provider Entity Type
Individual
Gender
Female
Address
30 Wilson RD, Fairfax, VT 05454-4409
Phone Number
802-255-8801
Fax Number
802-491-8230
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
August 21, 2018
Last Update Date
April 1, 2024
Certification Date
April 1, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Wilson RD
Fairfax, VT 05454-4409
State
Vermont
Zip
05454-4409
Phone Number
802-255-8801
Fax Number
802-491-8230
Fairfax, VT 05454Get directions →

Provider Business Mailing Address Details

Address
30 Wilson RD
Fairfax, VT 05454-4409
City
Fairfax
State
VT
Zip
05454-4409
Phone Number
802-255-8801
Fax Number
802-491-8230

License Information

License Number (1)
03-997355
License State (1)
CT
Taxonomy (1)
Counselor, Professional · 101YP2500X
License Number (2)
068.0134335
License State (2)
VT
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · Primary
License Number (3)
151-0134045
License State (3)
VT

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jacqueline F Esancy, LADC, LCMHC, LPC?

The NPI number of Jacqueline F Esancy, LADC, LCMHC, LPC is 1477033207. It was assigned on August 21, 2018 and is currently active in the NPPES registry.

What is the specialty of Jacqueline F Esancy, LADC, LCMHC, LPC?

Jacqueline F Esancy, LADC, LCMHC, LPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in CT under license number 03-997355.

Where does Jacqueline F Esancy, LADC, LCMHC, LPC practice?

The practice location is 30 Wilson RD, Fairfax, VT 05454-4409. The office can be reached at 802-255-8801 (phone) or 802-491-8230 (fax).

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 1477033207 directly on the NPPES registry website.

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