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Organization
VINEYARD PSYCHOTHERAPY, LLC
Active
Organization
VINEYARD PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH NANNES (LMHC)
(508) 687-0085
Entity
Organization
Contact information
Practice address
15 CHURCH ST, VINEYARD HAVEN, MA 02568-5483
(508) 687-0085
Mailing address
4 WOOD CHIPS CIR, VINEYARD HAVEN, MA 02568-5334
(508) 687-0085
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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