Individual
IVY ZELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCMHC
Contact information
Practice address
153 STATE ST, MONTPELIER, VT 05602-3361
(802) 279-5832
Mailing address
153 STATE ST, MONTPELIER, VT 05602-3361
(802) 279-5832
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0134124
VT
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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