Organization
COUNSELING AND WELLNESS
Active
Other names
802 Well-Being LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ETHAN WILLIAM GISLON MS, LCMHC, LADC (COUNSELOR)
(802) 825-4543
Entity
Organization
Contact information
Practice address
2882 PERLEY RD, ENOSBURG FALLS, VT 05450-5157
(802) 825-4543
Mailing address
2882 PERLEY RD, ENOSBURG FALLS, VT 05450-5157
(802) 825-4543
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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