Individual provider · Type 1 NPI
Jessica Schupp, LCMHC
Mental Health Counselor · Randolph, VT
NPI number
1043498561
Active
Practice location
11 Main Street
Randolph, VT 05060
Fax (802) 728-4197
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 068-0000735 (VT) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1043498561
Jessica Schupp, LCMHC's National Provider Identifier is 1043498561, issued on Feb 6, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Randolph, VT. The record was last updated on Feb 6, 2008.