| Experiential Counseling Llc | |
|
1089 Campbell Rd Morristown VT 05661-4481 | |
| (802) 355-5550 | |
| (802) 888-2244 |
| Full Name | Experiential Counseling Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/29/2015 |
| Last Update Date | 11/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649644782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0680066612 (Vermont) | Primary |