Individual
KERRI MACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 WOODBINE RD, SHELBURNE, VT 05482-6702
(802) 578-9278
Mailing address
45 WOODBINE RD, SHELBURNE, VT 05482-6702
(802) 578-9278
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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