Individual
MIRANDA BEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
72 HARREL STREET, MORRISVILLE, VT 05661
(802) 888-5026
Mailing address
72 HARREL STREET, MORRISVILLE, VT 05661
(802) 888-5026
(802) 888-5026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068.0118005
LCMHC
VT
Enumeration date
05/11/2016
Last updated
05/11/2016
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