Individual provider · Type 1 NPI

Jennette Difazio, CADC

Addiction (Substance Use Disorder) Counselor · Montpelier, VT

NPI number 1043953078 Active

Practice location

73 Main St
Montpelier, VT 05602-2932

Fax (802) 223-8105

Mailing address

PO Box 647
Montpelier, VT 05601-0647

Other practice locations

  • 73 Main St, Montpelier, VT 05602-2932 · (802) 225-8355

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1043953078

Jennette Difazio, CADC's National Provider Identifier is 1043953078, issued on Apr 18, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Montpelier, VT. The record was last updated on May 1, 2024.