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Individual

MR. JORDAN KYLE IMHOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCMHC

Contact information

Practice address
832 BARNES RD, HYDE PARK, VT 05655-9666
(931) 244-0182
Mailing address
832 BARNES RD, HYDE PARK, VT 05655-9666
(931) 244-0182

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0136011
VT

Other

Enumeration date
11/04/2024
Last updated
03/17/2025
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