Provider Demographics
NPI:1922370295
Name:KESSLER, JESSICA (LICSW)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:KESSLER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2091 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CAVENDISH
Mailing Address - State:VT
Mailing Address - Zip Code:05142-9710
Mailing Address - Country:US
Mailing Address - Phone:802-376-7151
Mailing Address - Fax:
Practice Address - Street 1:1929 BACK WESTMINSTER RD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:VT
Practice Address - Zip Code:05158-9779
Practice Address - Country:US
Practice Address - Phone:802-376-7151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-02
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089.00800991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical