Heddon, Jack J.

Heddon, Jack J. is an individual health care provider with primary practice located at 51 Fairview Street , Brattleboro VT 05301-8881. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Heddon, Jack J. can be contacted via phone (802) 254-6028.

Contact Information

Primary practice address
51 Fairview Street Brattleboro VT 05301-8881
Phone: (802) 254-6028
Fax: (802) 254-7501
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 097.0121746 Vermont
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 068.0122899 Vermont

Profile Details

NPI number 1164587481
LBN Legal business name Heddon, Jack J.
Credentials M.A., NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jan 30th, 2019 - about 5 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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