Individual
JUSTIN PHILIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LCMHC
Contact information
Practice address
GREEN RIVER GUILD, 111 MAIN ST., HYDE PARK, VT 05655
(802) 888-6215
Mailing address
719 BEN OBER HILL RD, JOHNSON, VT 05656-9270
(802) 635-8971
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0134155
VT
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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