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Organization
EXPERIENTIAL COUNSELING LLC
Active
Organization
EXPERIENTIAL COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY DOMINIC DEPAUL LCMHC (COUNSELOR/OWNER)
(802) 355-5550
Entity
Organization
Contact information
Practice address
1089 CAMPBELL RD, MORRISTOWN, VT 05661-4481
(802) 355-5550
(802) 888-2244
Mailing address
1089 CAMPBELL RD, MORRISTOWN, VT 05661-4481
(802) 355-5550
(802) 888-2244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680066612
VT
Other
Enumeration date
11/29/2015
Last updated
11/29/2015
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