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NPI Code Detail

MEDICARE: NICOLE GIARD-JETER LCMHC

MEDICARE: NICOLE GIARD-JETER LCMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor068.0134303VT

General Provider Information

NPI Number : 1144806167
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE GIARD-JETER LCMHC
Provider Business Mailing Address
First Line : PO BOX 443
Second Line :
City : ESSEX JUNCTION
State : VT
Zip : 05453-0443
Country : US
Telephone Number : 802-783-9507
Fax Number :
Provider Business Practice Location Address
First Line : 15 BRICKYARD RD
Second Line :
City : ESSEX JUNCTION
State : VT
Zip : 05452-4443
Country : US
Telephone Number : 802-783-9507
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2021
Last Update Date : 09/10/2023

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Directions to “ NICOLE GIARD-JETER LCMHC” Practice Location

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