| NPI | 1194572818 |
|---|---|
| Doing Business As | JACKSON PEAK COUNSELING, PLLC |
| Entity Type | Organization |
| Authorized Contact | STEPHEN R LONGLEY Principal 802-445-5703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-01 |