Individual provider · Type 1 NPI

Jennifer R. Marx, LADC

Addiction (Substance Use Disorder) Counselor · Randolph, VT

NPI number 1467776732 Active

Practice location

11 N Main St
Randolph, VT 05060-1126

Call (802) 728-4466 Map

Fax (802) 728-4197

Mailing address

PO Box G
Randolph, VT 05060-0167

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X000486 (VT)

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

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About NPI 1467776732

Jennifer R. Marx, LADC's National Provider Identifier is 1467776732, issued on Mar 16, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Randolph, VT. The record was last updated on Mar 16, 2010.