Individual
MS. ASHLEY ANN STACKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
1624 LILLIEVILLE BROOK RD, BETHEL, VT 05032-9719
(860) 617-5835
Mailing address
1624 LILLIEVILLE BROOK RD, BETHEL, VT 05032-9719
(860) 617-5835
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0134171
VT
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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