Organization
MOON RIVER COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLEIGH HOULKER LCMHC (OWNER)
(401) 489-6463
Entity
Organization
Contact information
Practice address
15 HOMESTEAD PL, BRATTLEBORO, VT 05301-6448
(401) 489-6463
Mailing address
15 HOMESTEAD PL, BRATTLEBORO, VT 05301-6448
(401) 489-6463
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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