Jennifer Elizabeth Coke, MA LCMHC
Counselor, Mental Health in Brattleboro, VT. Individual provider (NPI-1).
NPI number1962008581
StatusActive
Last updated in NPPESApr 14, 2025
Details
- NPI
- 1962008581
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Elizabeth Coke
- Credential
- MA LCMHC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 9, 2020
- Certification date
- Apr 14, 2025
- Last updated
- Apr 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 068.0136565 | VT | Yes |
| 101YP2500X | Counselor, Professional | 097.0134958 | VT | |
| 172V00000X | Community Health Worker | – | – |
Practice location
51 Fairview StreetBrattleboro, VT 05301-4809
Phone 802-254-6028 · Fax 802-254-7501
Mailing address
390 River StreetSpringfield, VT 05156-2226
Phone 802-886-4500 · Fax 802-886-4560
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