Individual
MS. HOPE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
24 ELM ST, 2ND FLOOR, WOODSTOCK, VT 05091-1000
(802) 457-4081
Mailing address
PO BOX 413, WOODSTOCK, VT 05091-0413
(802) 457-4081
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
141
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06806149
VT BLUE CROSS BLUE SHIELD
VT
05
—
CA1002668
—
VT
Enumeration date
04/26/2006
Last updated
08/03/2007
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