Individual
ANN WALLINGFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCMHC
Contact information
Practice address
4579 CENTER RD, E MONTPELIER, VT 05651-4261
(802) 595-5065
Mailing address
4579 CENTER RD, E MONTPELIER, VT 05651-4261
(802) 595-5065
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
068.0134258
VT
101YM0800X
Mental Health Counselor
068.0134258
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6704898
—
VT
Enumeration date
09/18/2020
Last updated
12/08/2023
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