Venessa Luck, Ma, Plc | |
133 Blakely Rd Ste 206 Colchester VT 05446-3984 | |
(802) 829-8922 | |
Not Available |
Full Name | Venessa Luck, Ma, Plc |
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Speciality | Psychologist |
Location | 133 Blakely Rd Ste 206, Colchester, Vermont |
Authorized Official Name and Position | Venessa C Luck (LICENSED PSYCHOLOGIST- MASTERS) |
Authorized Official Contact | 8028298922 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Venessa Luck, Ma, Plc 16 Mohawk Ave Essex Junction VT 05452-3565 Ph: (802) 829-8922 | Venessa Luck, Ma, Plc 133 Blakely Rd Ste 206 Colchester VT 05446-3984 Ph: (802) 829-8922 |
NPI Number | 1104494772 |
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Provider Enumeration Date | 06/11/2021 |
Last Update Date | 06/14/2021 |
Certification Date | 06/14/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104494772 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
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