Individual
MS. CLARE L. EVANCIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
5 PARK ST STE 3C, MIDDLEBURY, VT 05753-1169
(802) 598-8073
Mailing address
3143 QUAKER VILLAGE RD, WEYBRIDGE, VT 05753-8640
(802) 545-3363
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
068-0000737
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068-0000737
LICENSED MENTAL HEALTH COUNSELOR
VT
Enumeration date
05/14/2008
Last updated
12/08/2023
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