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Individual

GIKANH TIMBERWOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
132 SOUTH MAIN STREET, SUITE 100, WHITE RIVER JCT, VT 05001
(802) 295-3031
(802) 281-7080
Mailing address
390 RIVER ST, SPRINGFIELD, VT 05156-2226
(802) 886-4500
(802) 886-4520

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
097.0135991
VT
172V00000X
Community Health Worker
097.0135991
VT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
097.0135991
VT

Other

Enumeration date
04/26/2023
Last updated
02/09/2026
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