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Individual

MS. CELIA A MACKINNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC LMFT

Contact information

Practice address
262 WESTERN AVE, C/O INNERWELL INTEGRATIVE COUNSELING SERVICES, BRATTLEBORO, VT 05301-6246
(802) 231-2550
Mailing address
262 WESTERN AVE, C/O INNERWELL INTEGRATIVE COUNSELING SERVICES, BRATTLEBORO, VT 05301-6246
(802) 231-2550

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LMHC5591
MA
106H00000X
Marriage & Family Therapist
Primary
100.0109835
VT
106H00000X
Marriage & Family Therapist
LMFT 1287
MA

Other

Enumeration date
07/27/2006
Last updated
02/27/2015
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