Individual
MR. GAVIN FLANAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1028 LAKE DUNMORE RD, SALISBURY, VT 05769-9755
(802) 735-9080
(815) 572-0389
Mailing address
PO BOX 322, MIDDLEBURY, VT 05753-0322
(802) 735-9080
(815) 572-0389
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0089767
VT
Other
Enumeration date
08/27/2007
Last updated
01/16/2021
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