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General NPI Number Information
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NPI Number | 1750659975
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Entity Type | Individual
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Provider Name | ELIZABETH ANN JACOBS MA, LCMHC
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Gender | Female
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 03/19/2019
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Provider Practice Location Address
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Address Line | 11 PEARL ST STE 103
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City | ESSEX JUNCTION
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State | VT
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Zip | 05452-3650
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Country | US
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Telephone | 802-557-8027
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Fax |
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Provider Business Mailing Address
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Address Line | 17 PINE CT
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City | ESSEX JUNCTION
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State | VT
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Zip | 05452-4611
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Country | US
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Telephone | 802-878-3671
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0680075055
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License Number State | VT
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