Individual
GIAGE PHOENIX SIRONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
156 COLLEGE ST STE 205, BURLINGTON, VT 05401-8423
(802) 760-7746
Mailing address
424 S UNION ST APT 3, BURLINGTON, VT 05401-5070
(802) 760-7746
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
097.1036135
VT
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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