Individual
KELLY MORIARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
211 MAPLE ST, MIDDLEBURY, VT 05753-1592
(802) 565-1655
Mailing address
211 MAPLE STREET BOX 116, MIDDLEBURY, VT 05753
(802) 565-1655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0082295
VT
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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