Individual
MOIRA C SHERIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
86 LAKE ST STE 121, BURLINGTON, VT 05401-5297
(802) 922-3613
Mailing address
53 MEADOW LN, UNDERHILL, VT 05489-9230
(802) 922-3613
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0136432
VT
Other
Enumeration date
01/16/2023
Last updated
03/27/2025
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