Magnolia Counseling Solutions, Plc | |
312 Rockydale Rd Bristol VT 05443-5247 | |
(802) 782-2426 | |
(802) 304-5787 |
Full Name | Magnolia Counseling Solutions, Plc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 312 Rockydale Rd, Bristol, Vermont |
Authorized Official Name and Position | Ellen Repstad (OWNER) |
Authorized Official Contact | 8027822426 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Magnolia Counseling Solutions, Plc 312 Rockydale Rd Bristol VT 05443-5247 Ph: (802) 782-2426 | Magnolia Counseling Solutions, Plc 312 Rockydale Rd Bristol VT 05443-5247 Ph: (802) 782-2426 |
NPI Number | 1013734342 |
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Provider Enumeration Date | 09/26/2024 |
Last Update Date | 09/26/2024 |
Certification Date | 09/26/2024 |
Identifier | Type | State | Issuer |
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1013734342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Jennifer Kiewit, Ms, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 Pine St, Bristol, VT 05443 Phone: 802-777-0911 |