Organization
MAGNOLIA COUNSELING SOLUTIONS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN REPSTAD LICSW (OWNER)
(802) 782-2426
Entity
Organization
Contact information
Practice address
312 ROCKYDALE RD, BRISTOL, VT 05443-5247
(802) 782-2426
(802) 304-5787
Mailing address
312 ROCKYDALE RD, BRISTOL, VT 05443-5247
(802) 782-2426
(802) 304-5787
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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