Organization
SHIRKSHIRE COUNSELING PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI PEPOON LADC, LICSW (OWNER)
(802) 733-5566
Entity
Organization
Contact information
Practice address
160 BENMONT AVE STE 31, BENNINGTON, VT 05201-1899
(802) 733-5566
Mailing address
2092 EAST RD, BENNINGTON, VT 05201-8270
(802) 733-5566
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151.0124428
VT
1041C0700X
Clinical Social Worker
Primary
089.0115546
VT
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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