Individual
ASA PETTENGILL TWOMBLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1400 BRAINTREE HILL RD., ROXBURY, VT 05669
(802) 595-3532
Mailing address
PO BOX 48, ROXBURY, VT 05669-0048
(802) 595-3532
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
10/15/2025
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