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Individual

ELLEN B HALPERIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMHC

Contact information

Practice address
111 MAIN ST, HYDE PARK, VT 05655-0159
(802) 888-6215
(802) 888-9474
Mailing address
PO BOX 159, 111 MAIN ST, HYDE PARK, VT 05655-0159
(802) 888-6215
(802) 888-9474

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680000108
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1006723
VT
Enumeration date
12/13/2006
Last updated
07/08/2007
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