Organization
OPEN HEART COUNSELING PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA KIMBALL (SOCIAL WORKER/OWNER)
(802) 310-7091
Entity
Organization
Contact information
Practice address
160 RIVER ST UNIT 103, MILTON, VT 05468-3662
(802) 310-7091
Mailing address
160 RIVER ST UNIT 103, MILTON, VT 05468-3662
(802) 310-7091
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0084650
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027825
—
VT
Enumeration date
04/24/2018
Last updated
04/24/2018
Update your record
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