| Doctor Name: | JODY MARTIN HOWE XUEREB |
| NPI Number: | 1518157130 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCMHC |
| License Number: | |
| Business Practice Address: | 20 Wakefield St. Hardwick, VT - 05843 |
| Business Phone Number: | 8024726036 |
| Business Fax Number: | 8024726036 |
| Mailing Address: | Po Box 1174, HARDWICK |
| State: | VT |
| Postal Code: | 058431174 |
| Phone Number: | 8024726036 |
| Fax Number: | 8024726036 |
| NPI Enumeration Date: | 07/30/2007 |
| NPI Last Update Date: | 07/30/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |