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663 Guyette Rd Plainfield VT 05667-9054 | |
(609) 933-0877 | |
(609) 818-9206 |
Full Name | |
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Speciality | Counselor - Mental Health |
Location | 663 Guyette Rd, Plainfield, Vermont |
Authorized Official Name and Position | Jane Martin (PSYCHOTHERAPIST) |
Authorized Official Contact | 6095982182 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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663 Guyette Rd Plainfield VT 05667-9054 Ph: (609) 933-0877 | 663 Guyette Rd Plainfield VT 05667-9054 Ph: (609) 933-0877 |
NPI Number | 1164931812 |
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Provider Enumeration Date | 09/26/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
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1164931812 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 37PC00454700 (New Jersey) | Primary |