Individual
LISA SCANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRE-LICENSED CMHC
Contact information
Practice address
64 MAIN ST FL 3, MONTPELIER, VT 05602-3154
(808) 753-4219
Mailing address
609 HERRING BROOK RD, MONTPELIER, VT 05602-8201
(808) 753-4219
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
097.0134801
VT
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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