Individual
VENESSA LUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
133 BLAKELY RD STE 206, COLCHESTER, VT 05446-3984
(802) 829-8922
Mailing address
16 MOHAWK AVE, ESSEX JUNCTION, VT 05452-3565
(802) 829-8922
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
047-0133678
VT
Other
Enumeration date
09/20/2019
Last updated
06/14/2021
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