# INNERWELL INTEGRATIVE COUNSELING SERVICES L3C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003145459
- **Authorized official:** RACHEL ZAMORE MA, LMFT (OWNER)
- **Authorized official phone:** (802) 231-2550

## Contact information

- **Practice address:** 262 WESTERN AVE, BRATTLEBORO, VT 05301-6246
- **Practice address phone:** (802) 231-2550
- **Mailing address:** 262 WESTERN AVE, BRATTLEBORO, VT 05301-6246
- **Mailing address phone:** (802) 231-2550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103TC0700X | Clinical Psychologist | 047.0097608 | VT | — |
| 106H00000X | Marriage & Family Therapist | 100.0060629 | VT | Yes |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |

## Other

- **Enumeration date:** 12/14/2009
- **Last updated:** 10/22/2014
