Individual provider · Type 1 NPI
Jacqueline F. Esancy, LADC, LCMHC, LPC
Mental Health Counselor · Fairfax, VT
NPI number
1477033207
Active
Practice location
30 Wilson Rd
Fairfax, VT 05454-4409
Fax (802) 491-8230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 03-997355 (CT) |
| Mental Health Counselor Primary | 101YM0800X | 068.0134335 (VT) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 151-0134045 (VT) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Fairfax
About NPI 1477033207
Jacqueline F. Esancy, LADC, LCMHC, LPC's National Provider Identifier is 1477033207, issued on Aug 21, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfax, VT. The record was last updated on Apr 1, 2024.