Individual
WILLIAM MYREGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
20 W CANAL ST STE C11, WINOOSKI, VT 05404-2147
(802) 343-1158
(802) 654-8821
Mailing address
112 VALLEY VIEW RD, RICHMOND, VT 05477-9197
(802) 343-1158
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000274
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007082
—
VT
Enumeration date
05/15/2007
Last updated
09/08/2022
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