| Doctor Name: | JENNIFER GREENWOOD |
| NPI Number: | 1063898070 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 000678 |
| Business Practice Address: | 75 San Remo Dr South Burlington, VT - 054036385 |
| Business Phone Number: | 8024887350 |
| Business Fax Number: | |
| Mailing Address: | 208 Flynn Ave, Suite 3j BURLINGTON |
| State: | VT |
| Postal Code: | 054015429 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/03/2015 |
| NPI Last Update Date: | 08/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 000678 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |