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JACQUELYN MARIE GEORGINA
NPI 1568960110
Counselor - Addiction (Substance Use Disorder) in Brattleboro, VT

Active since January 30, 2018
16 TOWN CRIER DR, BRATTLEBORO, VT 05301(802) 258-4623 Get Directions Write a Review

NPPES record last updated: January 30, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jacquelyn Marie Georgina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELYN MARIE GEORGINA (NPI 1568960110) is an individual addiction (substance use disorder) provider in Brattleboro, Vermont, licensed in Vermont (150.0124815) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1568960110
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACQUELYN MARIE GEORGINA
Location Address16 TOWN CRIER DRBrattleboro, VT 05301-8669
Mailing Address151 Chestnut StBrattleboro, VT 05301-6580
Phone(802) 258-4623
Sole ProprietorNo
Enumeration DateJanuary 30, 2018
✔ NPI 1568960110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in VT · 150.0124815
16 TOWN CRIER DR, Brattleboro, VT 05301
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN DAVIS M.A.
Counselor (Addiction (Substance Use Disorder))
16 TOWN CRIER DR, SUITE 1
BRATTLEBORO, VT 05301
Windham County (802) 258-4629
MICHAEL BURROWS N/A
Counselor (Addiction (Substance Use Disorder))
16 TOWN CRIER DR
BRATTLEBORO, VT 05301
Windham County (802) 258-4623
LACEY HABERSTROH
Counselor (Addiction (Substance Use Disorder))
16 TOWN CRIER DR
BRATTLEBORO, VT 05301
Windham County (802) 689-8900
JENNIFER WRIGHT
Counselor (Addiction (Substance Use Disorder))
16 TOWN CRIER DR
BRATTLEBORO, VT 05301
Windham County (802) 256-4623
STEPHANIE CATOZZI
Counselor (Addiction (Substance Use Disorder))
16 TOWN CRIER DR
BRATTLEBORO, VT 05301
Windham County (802) 258-4623
ANGELA LECLAIR
Counselor (Addiction (Substance Use Disorder))
16 TOWN CRIER DR
BRATTLEBORO, VT 05301
Windham County (802) 258-4623
HOWARD FREDERIC BRONSON MSJ, MCP. QMHP
Counselor (Mental Health)
16 TOWN CRIER DR
BRATTLEBORO, VT 05301
Windham County (802) 258-4623
CYNTHIA STEPLER
Counselor (Addiction (Substance Use Disorder))
16 TOWN CRIER DR
BRATTLEBORO, VT 05301
Windham County (802) 258-4623

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Georgina's NPI number?

The NPI number for Jacquelyn Georgina is 1568960110. It was assigned to this individual provider in the NPPES registry on January 30, 2018.

Where is Jacquelyn Georgina located?

Jacquelyn Georgina practices at 16 Town Crier Dr, Brattleboro, VT 05301. The listed phone number is (802) 258-4623.

What is Jacquelyn Georgina's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Georgina was last updated on January 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.