Organization
LITTLE MOON COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAYDEN ELMENDORF (SOLE MEMBER)
(802) 557-1527
Entity
Organization
Contact information
Practice address
106 E STATE ST, MONTPELIER, VT 05602-3223
(802) 557-1527
Mailing address
106 E STATE ST, MONTPELIER, VT 05602-3223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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