Eason, Andre Jermaine
Eason, Andre Jermaine is an sole proprietor health care provider with primary practice located at 2225 Portland St , St Johnsbury VT 05819-8635. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Eason, Andre Jermaine can be contacted via phone (802) 334-6744.Contact Information
Primary practice address
2225 Portland St
St Johnsbury VT 05819-8635
Phone: (802) 334-6744
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 068.0135630 | Vermont |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 151.0134147 | Vermont |
Profile Details
| NPI number | 1275254518 |
|---|---|
| LBN Legal business name | Eason, Andre Jermaine |
| Credentials | LADC, LCMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2022 |
| Last updated | May 15th, 2024 - about 2 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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