Greco, Jessica N

Greco, Jessica N is an individual health care provider with primary practice located at 12 Commons St , Rutland VT 05701-4651. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Greco, Jessica N can be contacted via phone (802) 747-3600.

Contact Information

Primary practice address
12 Commons St Rutland VT 05701-4651
Phone: (802) 747-3600
Fax: (802) 773-8501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 089.0129272 Vermont

Profile Details

NPI number 1861654683
LBN Legal business name Greco, Jessica N
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2008
Last updated Sep 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861654683 NPPES
New York MEDICAID 01420800

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