Organization
GREEN HERON PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLY BERNSTEIN LICSW (MANAGING DIRECTOR)
(802) 432-8184
Entity
Organization
Contact information
Practice address
250 HALL CIR, WOODSTOCK, VT 05091-6022
(802) 432-8184
Mailing address
250 HALL CIR, WOODSTOCK, VT 05091-6022
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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