| Doctor Name: | MR. JEFFREY M. SCANNELL |
| NPI Number: | 1194039602 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA, LMFT, ASAC |
| License Number: | ASAC |
| Business Practice Address: | 3 Pitkin Ct Montpelier, VT - 056024509 |
| Business Phone Number: | 8022799407 |
| Business Fax Number: | 8022292508 |
| Mailing Address: | 70 Liberty St, MONTPELIER |
| State: | VT |
| Postal Code: | 056022421 |
| Phone Number: | 8022799407 |
| Fax Number: | 8022292508 |
| NPI Enumeration Date: | 07/27/2010 |
| NPI Last Update Date: | 01/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | ASAC |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |