Individual
MS. TIA GANGULY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
980 POND BROOK RD, HINESBURG, VT 05461-9027
(802) 777-0421
Mailing address
34 BLAIR PARK ROAD, STE 104 - 248, WILLISTON, VT 05495
(802) 777-0421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0135601
VT
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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