Healthcare Provider Details

I. General information

NPI: 1740955228
Provider Name (Legal Business Name): DAILIE M JEFFS JOY LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2021
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 BLANCHARD DR
WHITE RIVER JUNCTION VT
05001-3702
US

IV. Provider business mailing address

7 BLANCHARD DR
WHITE RIVER JUNCTION VT
05001-3702
US

V. Phone/Fax

Practice location:
  • Phone: 309-229-6006
  • Fax:
Mailing address:
  • Phone: 309-229-6006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10003058
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: