Doctor Name: | MS. ELIZABETH ANNE LEMAIRE-JENKINS |
NPI Number: | 1912981804 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., LCMHC |
License Number: | 0680000363 |
Business Practice Address: | 20 W Canal St Winooski, VT - 054042131 |
Business Phone Number: | 8026550585 |
Business Fax Number: | 8026550585 |
Mailing Address: | 31 Rivermount Ter, BURLINGTON |
State: | VT |
Postal Code: | 054011115 |
Phone Number: | 8028650249 |
Fax Number: | 8026550585 |
NPI Enumeration Date: | 12/03/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0680000363 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |