Experiential Counseling Llc | |
1089 Campbell Rd Morristown VT 05661-4481 | |
(802) 355-5550 | |
(802) 888-2244 |
Full Name | Experiential Counseling Llc |
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Speciality | Counselor - Mental Health |
Location | 1089 Campbell Rd, Morristown, Vermont |
Authorized Official Name and Position | Anthony Dominic Depaul (COUNSELOR/OWNER) |
Authorized Official Contact | 8023555550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Experiential Counseling Llc 1089 Campbell Rd Morristown VT 05661-4481 Ph: (802) 355-5550 | Experiential Counseling Llc 1089 Campbell Rd Morristown VT 05661-4481 Ph: (802) 355-5550 |
NPI Number | 1649644782 |
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Provider Enumeration Date | 11/29/2015 |
Last Update Date | 11/29/2015 |
Identifier | Type | State | Issuer |
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1649644782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | 0680066612 (Vermont) | Primary |