| Vine Counseling Pllc | |
|
1136 Main St Leicester MA 01524-1349 | |
| (607) 207-6681 | |
| Not Available |
| Full Name | Vine Counseling Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1136 Main St, Leicester, Massachusetts |
| Authorized Official Name and Position | Staci Lyn Jackson (CEO) |
| Authorized Official Contact | 6072076681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vine Counseling Pllc 436 Southbridge St Suite 2 #1006 Auburn MA 01501 Ph: (607) 207-6681 | Vine Counseling Pllc 1136 Main St Leicester MA 01524-1349 Ph: (607) 207-6681 |
| NPI Number | 1780560771 |
|---|---|
| Provider Enumeration Date | 08/14/2025 |
| Last Update Date | 08/14/2025 |
| Certification Date | 08/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780560771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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