Individual
VIANN ODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
252 N PINNACLE RIDGE RD, WATERBURY, VT 05676-9142
(802) 241-4162
(802) 241-4163
Mailing address
252 N PINNACLE RIDGE RD, WATERBURY, VT 05676-9142
(802) 241-4162
(802) 241-4163
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
100-0000049
VT
Other
Enumeration date
03/18/2007
Last updated
07/08/2007
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