Organization
15 EAST COLLECTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRIN GREENE LPM, LADC (PSYCHOLOGIST MASTERS LEVEL)
(802) 323-1236
Entity
Organization
Contact information
Practice address
1225 VT-15, WOLCOTT, VT 05680
(802) 323-8392
Mailing address
1225 VT 15, WOLCOTT, VT 05680-3034
(802) 323-8392
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
11/01/2024
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