Individual
YANA TALLON-HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
167 MAIN ST STE 312, BRATTLEBORO, VT 05301-3096
(413) 813-8828
Mailing address
167 MAIN ST STE 312, BRATTLEBORO, VT 05301-3096
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
097.0134122
VT
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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