Organization
MOUNT MANSFIELD COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY M BURNETT DO (LICSW)
(802) 858-5576
Entity
Organization
Contact information
Practice address
213 VERMONT ROUTE 15, JERICHO, VT 05465-9639
(802) 598-9243
Mailing address
19 OLD FARM RD, JERICHO, VT 05465-2502
(802) 598-9243
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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