| Mount Mansfield Counseling Services Llc | |
|
213 Vermont Route 15 Jericho VT 05465-9639 | |
| (802) 598-9243 | |
| Not Available |
| Full Name | Mount Mansfield Counseling Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 213 Vermont Route 15, Jericho, Vermont |
| Authorized Official Name and Position | Stacy M Burnett (LICSW) |
| Authorized Official Contact | 8028585576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Mansfield Counseling Services Llc 19 Old Farm Rd Jericho VT 05465-2502 Ph: (802) 598-9243 | Mount Mansfield Counseling Services Llc 213 Vermont Route 15 Jericho VT 05465-9639 Ph: (802) 598-9243 |
| NPI Number | 1407481724 |
|---|---|
| Provider Enumeration Date | 03/06/2020 |
| Last Update Date | 03/06/2020 |
| Certification Date | 03/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407481724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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