NPI 1043498561

Jessica Schupp, LCMHC

Practitioner Mental Health Counselor Randolph, VT

Practice location

Address: 11 Main Street, Randolph, VT 05060
Phone: (802) 728-4466
Fax: (802) 728-4197

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 068-0000735 (VT)

Other Counselor providers in Vermont →

Registry record

NPI: 1043498561
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Feb 2008
Record last updated: 6 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.