Individual
EMILY GUSTAFSON CROWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDS
Contact information
Practice address
16 GEORGE ST, WINOOSKI, VT 05404-1405
(864) 205-8587
Mailing address
16 GEORGE ST, WINOOSKI, VT 05404-1405
(864) 205-8587
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0134165
VT
101YP2500X
Professional Counselor
5722
SC
Other
Enumeration date
03/12/2012
Last updated
04/19/2020
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