Individual
SHANNON PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 W MAIN ST, RICHMOND, VT 05477-4451
(781) 724-9251
Mailing address
15 BRICKYARD RD, ESSEX JUNCTION, VT 05452-4443
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
097.0135162
VT
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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