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Organization

SANDRA BERNA LCMHC EMDR INTEGRATIVE SERVICES LLC

Active
Parent organization
SANDRA BERNA LCMHC EMDR INTEGRATIVE SERVICES LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SANDRA BERNA LCMHC EMDR INTEGRATIVE SERVICES LLC
Authorized official
SANDRA E BERNA LCMHC (OWNER)
(802) 527-7494
Entity
Organization

Contact information

Practice address
1388 BLOCKHOUSE PT RD, NORTH HERO, VT 05474-9666
(802) 527-7494
Mailing address
1388 BLOCKHOUSE PT RD, NORTH HERO, VT 05474-9666
(802) 527-7494

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1009871
VT
Enumeration date
08/19/2022
Last updated
06/24/2024
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