Individual
MR. TERRY D MAXFIELD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LCMHC
Contact information
Practice address
289 MAIN ST UNIT B211, NORWICH, VT 05055-9354
(802) 526-9958
Mailing address
PO BOX 668, NORWICH, VT 05055-0668
(802) 526-9958
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0057660
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018048
—
VT
Enumeration date
08/24/2010
Last updated
10/18/2023
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