Jacquelyn M Georgina
Counselor, Addiction (Substance Use Disorder) in Brattleboro, Vermont
1568960110- Practice location
- 16 Town Crier Dr, Brattleboro, VT 05301-8669
- Phone
- 802-258-4623
- Fax
- —
- Last updated
- January 30, 2018
Jacquelyn Marie Georgina is a Counselor, Addiction (Substance Use Disorder) based in Brattleboro, VT. Jacquelyn Marie Georgina practices in Brattleboro, VT. The NPI Number for Jacquelyn Marie Georgina is 1568960110 and holds a License No. 150.0124815 (VT). The current practice location address for Jacquelyn Marie Georgina is 16 Town Crier Dr, Brattleboro, VT 05301-8669 and can be reached out via phone at 802-258-4623.
Provider Profile Details
- NPI Number
- 1568960110
- Provider Name
- Jacquelyn Marie Georgina
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 16 Town Crier Dr, Brattleboro, VT 05301-8669
- Phone Number
- 802-258-4623
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 30, 2018
- Last Update Date
- January 30, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 16 Town Crier Dr
Brattleboro, VT 05301-8669 - City
- Brattleboro
- State
- Vermont
- Zip
- 05301-8669
- Phone Number
- 802-258-4623
Provider Business Mailing Address Details
- Address
- 151 Chestnut St
Brattleboro, VT 05301-6580 - City
- Brattleboro
- State
- VT
- Zip
- 05301-6580
License Information
- License Number
- 150.0124815
- License State
- VT
- Taxonomy
- 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 Brattleboro, VT
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Frequently Asked Questions
What is the NPI number of Jacquelyn M Georgina?
The NPI number of Jacquelyn M Georgina is 1568960110. It was assigned on January 30, 2018 and is currently active in the NPPES registry.
What is the specialty of Jacquelyn M Georgina?
Jacquelyn M Georgina is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in VT under license number 150.0124815.
Where does Jacquelyn M Georgina practice?
The practice location is 16 Town Crier Dr, Brattleboro, VT 05301-8669. The office can be reached at 802-258-4623 (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 1568960110 directly on the NPPES registry website.