Individual
HEATHER AXMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
5 MOUNTAIN PARK PLAZA, WEST DOVER, VT 05356-9999
(802) 464-8105
(802) 923-3912
Mailing address
PO BOX 51, WILMINGTON, VT 05363-0051
(954) 554-2368
(802) 923-3912
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151.0125990
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
MCAP.0100249
FL
1041C0700X
Clinical Social Worker
079468
NY
1041C0700X
Clinical Social Worker
Primary
089.0082832
VT
1041C0700X
Clinical Social Worker
SW9437
FL
Other
Enumeration date
05/15/2009
Last updated
11/17/2024
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