Individual
ELIZABETH ILIFF KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC, ATR-BC
Contact information
Practice address
4061 MAIN ST., WAITSFIELD, VT 05673-6060
(802) 595-3788
Mailing address
952 NORTH RD, WAITSFIELD, VT 05673-6060
(802) 595-3788
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0134189
VT
101YM0800X
Mental Health Counselor
Primary
0680134189
VT
Other
Enumeration date
12/05/2019
Last updated
01/03/2020
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