Individual
MS. TAMMIE ANNE CONSEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
595 DORSET ST, SUITE 2, SOUTH BURLINGTON, VT 05403-6240
(802) 651-8999
(802) 651-8997
Mailing address
PO BOX 422, SHELDON SPRINGS, VT 05485-0422
(802) 651-8999
(802) 651-8997
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680000562
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008978
—
VT
Enumeration date
08/25/2010
Last updated
08/25/2010
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