| Wildwood Therapy Collective Llc | |
|
28 Ridgewood Ter Barre VT 05641-9738 | |
| (802) 522-9211 | |
| Not Available |
| Full Name | Wildwood Therapy Collective Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 28 Ridgewood Ter, Barre, Vermont |
| Authorized Official Name and Position | Jacob Edmondson (OWNER) |
| Authorized Official Contact | 8025229211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildwood Therapy Collective Llc 28 Ridgewood Ter Barre VT 05641-9738 Ph: (802) 522-9211 | Wildwood Therapy Collective Llc 28 Ridgewood Ter Barre VT 05641-9738 Ph: (802) 522-9211 |
| NPI Number | 1831989482 |
|---|---|
| Provider Enumeration Date | 05/07/2025 |
| Last Update Date | 05/07/2025 |
| Certification Date | 05/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831989482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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