Individual
FAITH CASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
578 E MAIN ST, NEWPORT, VT 05855
(802) 323-3421
Mailing address
4052 HOLLAND POND RD, DERBY LINE, VT 05830-9030
(802) 323-3421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680116198
VT
Other
Enumeration date
09/18/2018
Last updated
02/08/2019
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