Individual
SAMANTHA POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
35 AYERS BROOK RD, RANDOLPH, VT 05060-1040
(802) 728-4466
(802) 728-4197
Mailing address
PO BOX G, RANDOLPH, VT 05060-0167
(802) 728-4466
(802) 728-4197
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0118907
VT
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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