Provider Demographics
NPI:1609594308
Name:JENNIFER CETIN COUNSELING, LLC
Entity Type:Organization
Organization Name:JENNIFER CETIN COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:CETIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:802-839-0614
Mailing Address - Street 1:26 MOONLIGHT DR
Mailing Address - Street 2:
Mailing Address - City:BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05641-5122
Mailing Address - Country:US
Mailing Address - Phone:802-839-0614
Mailing Address - Fax:802-735-1070
Practice Address - Street 1:1 CONTI CIR STE 6
Practice Address - Street 2:
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641-9604
Practice Address - Country:US
Practice Address - Phone:802-839-0614
Practice Address - Fax:802-735-1070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health