Individual
MS. TERRY GWEN PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
100 STATE ST, SUITE 302, MONTPELIER, VT 05602-3099
(802) 229-4597
Mailing address
580 MINISTER BROOK RD, WORCESTER, VT 05682-9760
(802) 229-4597
(716) 809-3774
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000103
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011085
—
VT
Enumeration date
06/24/2006
Last updated
07/09/2007
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