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Individual

TERENCE MCDONNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCMHC

Contact information

Practice address
293 MAIN ST, SUITE 209, NORWICH, VT 05055-9344
(802) 345-5616
Mailing address
15 BRIGHAM HILL RD, NORWICH, VT 05055-9577
(802) 649-9099

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680000672
VT
101YM0800X
Mental Health Counselor
606
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0680000672
MHC
VT
01
606
LCMHC
NH
Enumeration date
03/03/2007
Last updated
07/08/2007
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