Rodd, Jessica J

Rodd, Jessica J is an sole proprietor health care provider with primary practice located at 183 Talcott Rd C/O Associates At The Gables Suite 206, Williston VT 05495-2089. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rodd, Jessica J can be contacted via phone (802) 876-1100.

Contact Information

Primary practice address
183 Talcott Rd C/O Associates At The Gables Suite 206 Williston VT 05495-2089
Phone: (802) 876-1100
Fax: (802) 876-1101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0890000273 Vermont

Profile Details

NPI number 1922018365
LBN Legal business name Rodd, Jessica J
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Dec 13th, 2009 - about 16 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 1922018365 NPPES
Vermont MEDICAID 1008866
Vermont Other 18079

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