Individual
PROF. BLAGORODNA EFREMOVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC., LADC
Contact information
Practice address
18 STEEPLEBUSH RD, ESSEX JUNCTION, VT 05452-2282
(802) 238-4459
Mailing address
18 STEEPLEBUSH RD, ESSEX JUNCTION, VT 05452-2282
(802) 238-4459
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151.0124715
VT
101YM0800X
Mental Health Counselor
Primary
068.0057666
VT
Other
Enumeration date
10/16/2016
Last updated
10/16/2016
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