Organization
MOUNTAIN SPRING WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERICK JAMES LATTRELL LICSW (PSYCHOTHERAPIST/OWNER)
(802) 310-6089
Entity
Organization
Contact information
Practice address
1617 DOWSVILLE RD, SOUTH DUXBURY, VT 05660-9165
(802) 310-6089
Mailing address
PO BOX 734, WATERBURY, VT 05676-0734
(802) 310-6089
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
07/16/2021
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