Healthcare Provider Details

I. General information

NPI: 1013854405
Provider Name (Legal Business Name): JAMIE LYNN ATKINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 US ROUTE 5 S APT B
WINDSOR VT
05089-9713
US

IV. Provider business mailing address

720 US ROUTE 5 S APT B
WINDSOR VT
05089-9713
US

V. Phone/Fax

Practice location:
  • Phone: 207-922-0388
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number2152
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: