Individual
GINA VICTORIA PEARCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, LADC
Contact information
Practice address
1 ANNA MARSH LANE, BRATTLEBORO, VT 05302
(802) 258-6127
Mailing address
296 PAKO AVE, KEENE, NH 03431-5023
(802) 579-2420
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151.0127842
VT
101YM0800X
Mental Health Counselor
Primary
068.0084548
VT
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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