Individual
ANN GANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
567 S PINNACLE RIDGE RD, WATERBURY, VT 05676-9623
(802) 498-7979
Mailing address
132 MAIN ST, MONTPELIER, VT 05602-3226
(802) 498-7979
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
089.0114055
VT
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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