Organization
WAXING CRESCENT COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN TIMMONS LPCC. LCMHC (CO-OWNER)
(802) 227-7255
Entity
Organization
Contact information
Practice address
183 ROCKY RDG, ST JOHNSBURY, VT 05819-8850
(802) 227-7255
Mailing address
183 ROCKY RDG, ST JOHNSBURY, VT 05819-8850
(802) 227-7255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
04/16/2024
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