Organization
VANESSA LANE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA ANN LANE LADC (MEMBER)
(802) 291-0356
Entity
Organization
Contact information
Practice address
160 WALL ST, SPRINGFIELD, VT 05156-3528
(802) 291-0356
(802) 885-1600
Mailing address
PO BOX 624, SPRINGFIELD, VT 05156-0624
(802) 291-0356
(805) 885-1600
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033859
—
VT
Enumeration date
12/21/2020
Last updated
12/21/2020
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