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Search › Vermont › 101YA0400X

Susan Jacobs, LADC

NPI 1437385796 · on the registry since 2009

Practice

Address
154 Duchess Street
Newport, VT 05855
Phone
(802) 334-7451
Fax
(802) 334-7340
Organisation at this address
Northeast Kingdom Human Services Inc Ds
Northeast Kingdom Human Services Inc Pc
Northeast Kingdom Human Services Inc Crt
Northeast Kingdom Human Services Inc Sbs
Northeast Kingdom Human Services Inc Hbkf
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
VT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-06-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Vermont