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1699103069
JASON CARRIVEAU
WILLISTON, VT
NPI
1699103069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VT 101.0135812)
Enumeration Date
2013-10-23
Last Update Date
2024-10-19
Business Address
Mr. JASON CARRIVEAU PMHNP-BC, RN, ATC
28 PARK AVE STE 100
WILLISTON, VT 05495-9701
Phone number: 802-793-8636
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Mailing Address
Mr. JASON CARRIVEAU PMHNP-BC, RN, ATC
PO BOX 749
MORRISVILLE, VT 05661-0749
Phone number: 802-851-8619
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