Individual
MS. TERRI MARIE MAYER THOMSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
27A MAIN ST, BRISTOL, VT 05443-1317
(802) 349-7017
(802) 264-8546
Mailing address
36 CRESCENT ST, BRISTOL, VT 05443-1103
(802) 349-7017
(802) 264-8546
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000407
VT
Other
Enumeration date
05/14/2007
Last updated
02/09/2010
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