| Green Mountain Counseling Associates | |
|
167 Main St Suite 207-d Brattleboro VT 05301-7128 | |
| (413) 345-8745 | |
| (877) 532-0268 |
| Full Name | Green Mountain Counseling Associates |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 167 Main St, Brattleboro, Vermont |
| Authorized Official Name and Position | Theodore E Walls (OWNER) |
| Authorized Official Contact | 4133458745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Mountain Counseling Associates 167 Main St Suite 207-d Brattleboro VT 05301-7128 Ph: (413) 345-8745 | Green Mountain Counseling Associates 167 Main St Suite 207-d Brattleboro VT 05301-7128 Ph: (413) 345-8745 |
| NPI Number | 1992152276 |
|---|---|
| Provider Enumeration Date | 05/17/2016 |
| Last Update Date | 09/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992152276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 068.0067951 (Vermont) | Primary |
| 1041C0700X | Social Worker - Clinical | 089.0000688 (Vermont) | Secondary |
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