| Vermont Wellness Collaborative Llc | |
|
8 Pearl St Essex Junction VT 05452-3604 | |
| (802) 497-4864 | |
| Not Available |
| Full Name | Vermont Wellness Collaborative Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8 Pearl St, Essex Junction, Vermont |
| Authorized Official Name and Position | Cyrus Patten (DIRECTOR) |
| Authorized Official Contact | 8024974864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vermont Wellness Collaborative Llc 8 Pearl St Essex Junction VT 05452-3604 Ph: (802) 497-4864 | Vermont Wellness Collaborative Llc 8 Pearl St Essex Junction VT 05452-3604 Ph: (802) 497-4864 |
| NPI Number | 1972163343 |
|---|---|
| Provider Enumeration Date | 06/18/2019 |
| Last Update Date | 06/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972163343 | NPI | - | NPPES |
| 1025959 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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